NPIMap

Organization Active NPI

Terra Fertility PLLC

  • Reproductive Endocrinology Physician
  • Dedham, MA
National Provider Identifier
1508660325
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
TERRA FERTILITY PLLC
Doing business as
Terra Fertility PLLC
Practice address
45 Stergis Way
Dedham, MA 02026-2637
Phone
(305) 495-7446
NPI assigned
Apr 2, 2025
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Amanda Layne
Title
Practice Manager
Phone
(781) 675-3192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

45 Stergis Way
Dedham, MA 02026-2637

Mailing address

45 Stergis Way
Dedham, MA 02026-2637
Phone (781) 675-3192

Other names 2

  • Terra Fertility PLLC Doing business as
  • Beacon Fertility PLLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Beacon Fertility PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1508660325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 STERGIS WAY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262637",
            "telephone_number": "781-675-3192",
            "fax_number": "781-747-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 STERGIS WAY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262637",
            "telephone_number": "305-495-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA FERTILITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "781-675-3192"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terra Fertility PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Fertility PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.