NPIMap

Individual provider Active NPI

Jack Louie, D.D.S.

  • Dental Anesthesiology
  • Boston, MA
National Provider Identifier
1487901740
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DN1859750 Issued in MA
Practice address
110 Stuart St Unit 18a
Boston, MA 02116-5668
Phone
(901) 258-3188
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 14351 CT
Pediatric Dentistry 1223P0221X DN1859750 MA
Student in an Organized Health Care Education/Training Program 390200000X
Dental Anesthesiology 1223D0004X DN1859750 MA Primary

Addresses

Primary practice location

110 Stuart St Unit 18a
Boston, MA 02116-5668

Mailing address

110 Stuart St Unit 18a
Boston, MA 02116-5668
Phone (901) 258-3188

Other practice location 1

27 Church Hill Rd Ste 1
Newtown, CT 06470-1612
Phone (203) 426-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14351CTMDDentist Anesthesiologist
DN1859750MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
JL Anesthesia PC Dental Anesthesiology Current Accepting new patients
Hero Vision of Denver LLC Past Accepting new patients
Newtown Smile Dentistry, PC PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1487901740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STUART ST UNIT 18A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165668",
            "telephone_number": "901-258-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STUART ST UNIT 18A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165668",
            "telephone_number": "901-258-3188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Church Hill Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "CT",
            "postal_code": "064701612",
            "country_code": "US",
            "telephone_number": "203-426-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "JACK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CT",
            "license": "14351",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1859750",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "MA",
            "license": "DN1859750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; 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.