NPIMap

Organization Active NPI

Brookline Endodontic Associates, P.C.

  • Endodontics
  • Brookline, MA
National Provider Identifier
1467681502
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BROOKLINE ENDODONTIC ASSOCIATES, P.C.
Practice address
1 Brookline Place
Suite 505
Brookline, MA 02445-7233
Phone
(617) 735-8500
Fax
(617) 735-1859
NPI assigned
Jul 10, 2009
Last updated
Jul 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michele Whitley
Title
Practice Manager
Phone
(978) 532-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

1 Brookline Place
Suite 505
Brookline, MA 02445-7233

Mailing address

6 Essex Center Drive
Suite 109
Peabody, MA 01960
Phone (978) 532-4125

National Provider Directory

National Provider Directory

Locations

1 Brookline Pl
Ste 505
Brookline, MA 02445
Phone (617) 735-8500

6 Essex Center Dr
Ste 109
Peabody, MA 01960

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1467681502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DRIVE",
            "address_2": "SUITE 109",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "978-532-4125",
            "fax_number": "978-977-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PLACE",
            "address_2": "SUITE 505",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457233",
            "telephone_number": "617-735-8500",
            "fax_number": "617-735-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE ENDODONTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "978-532-4125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.