NPIMap

Organization Active NPI

Beacon Dental Health Ma II PLLC

  • Dentist
  • Boston, MA
National Provider Identifier
1508518903
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BEACON DENTAL HEALTH MA II PLLC
Practice address
3 Post Office SQ FL 9
Boston, MA 02109-3839
Phone
(857) 578-2200
Fax
(631) 396-0452
NPI assigned
Jan 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Hiro Soriano
Title
Cio
Phone
(516) 344-5746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3 Post Office SQ FL 9
Boston, MA 02109-3839

Mailing address

135 Pinelawn Rd Ste 150S
Melville, NY 11747-3187
Phone (631) 414-7927

Other names 1

  • Post Office Square Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon Dental Health Ma II PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1508518903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PINELAWN RD STE 150S",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473187",
            "telephone_number": "631-414-7927",
            "fax_number": "631-396-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 POST OFFICE SQ FL 9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021093839",
            "telephone_number": "857-578-2200",
            "fax_number": "631-396-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DENTAL HEALTH MA II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "HIRO",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "516-344-5746"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Post Office Square Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2022; 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.