Beacon Orthodontic Associates, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

16176 Issued in MA

Legal business name

BEACON ORTHODONTIC ASSOCIATES, P.C.

Practice address

651 Washington St Ste 100
Brookline, MA 02446-4518

Phone

(617) 738-4746

Fax

(617) 738-3334

NPI assigned

Nov 6, 2017

Last updated

Nov 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shari N. Lisann, D.M.D.NPI 1649335282

Title

Owner/Dentist

Phone

(617) 738-4746

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Shari N. Lisann, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brookline, MA
  • NPI 1649335282
  Authorized official Same address or phone

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1558874172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON STREET",
            "address_2": "SUITE 100",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-738-4746",
            "fax_number": "617-738-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON ST STE 100",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464518",
            "telephone_number": "617-738-4746",
            "fax_number": "617-738-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ORTHODONTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "LISANN",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "617-738-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "16176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Bayer, M.D.
• Bcpsi PC
• Beacon Dental Center, LLC (Beacon Dental Center)
• Beacon Dental Center, PLLC
• Beacon Family Dental
• Beacon Place Dental Group
• Beacon Primary Medicine
• Beacon Therapies LLC
• Charlotte Beal
• Beantown Physio, Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Brookline, MA
• Providers in Brookline, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.