NPIMap

Organization Active NPI

Dentaquest of Florida, Inc.

  • Dentist
  • Boston, MA
National Provider Identifier
1497097091
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAQUEST OF FLORIDA, INC.
Practice address
465 Medford St
Boston, MA 02129-1426
Phone
(617) 886-1818
NPI assigned
Mar 21, 2013
Organization subpart
Yes
Parent organization
DENTAQUEST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Mr. James Hawkins
Title
Secretary
Phone
(617) 886-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

465 Medford St
Boston, MA 02129-1426

Mailing address

465 Medford St
Boston, MA 02129-1426
Phone (617) 886-1818

National Provider Directory

National Provider Directory
Tax ID family
Dentaquest of Florida Inc3 organizations share this tax ID, including this one
Part of
Dentaquest LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1497097091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MEDFORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021291426",
            "telephone_number": "617-886-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MEDFORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021291426",
            "telephone_number": "617-886-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAQUEST OF FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAQUEST, LLC",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "617-886-1511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Mar 21, 2013; 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.