Active NPI
Tufts University School of Dental Medicine
- Prosthodontics
- Boston, MA
National Provider Identifier
1487053799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN18149
- Legal business name
- TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
- Practice address
- 1 Kneeland St
Boston, MA 02111-1527 - Phone
- (617) 636-6598
- Fax
- (617) 636-0469
- NPI assigned
- Aug 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Kasberg, D.M.D
- Title
- Associate Dean of Admissions
- Phone
- (617) 636-6539
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | |||
| Prosthodontics | 1223P0700X | DN18149 | MA | Primary |
Addresses
Primary practice location
1 Kneeland St
Boston, MA 02111-1527
Mailing address
1 Kneeland St
Boston, MA 02111-1527
Phone (617) 636-6598
National Provider Directory
National Provider Directory- Tax ID family
- Tufts University Lab
Other organizations with this tax ID 22
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408665600000",
"number": "1487053799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6598",
"fax_number": "617-636-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6598",
"fax_number": "617-636-0469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A",
"authorized_official_last_name": "KASBERG",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "ASSOCIATE DEAN OF ADMISSIONS",
"authorized_official_telephone_number": "617-636-6539",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "DN18149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
- Tufts University
- Tufts University School of Dental Medicine
- Tufts University School of Dental Medicine
- Tufts University School of Dental Medicine
- Tufts University School of Dental Medicine
- Tufts University School of Dental Medicine
- Tufts University School of Dental Medicine
- Tufts University School of Medicine
- Tufts- New England Medical Center
- Tufts-Nemc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.