Active NPI
Eirini Boutiou
- Dentist
- Quincy, MA
National Provider Identifier
1578206090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10001190
- Practice address
- 300 Crown Colony Dr Ste 203
Quincy, MA 02169-0929 - Phone
- (617) 472-5437
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10001190 | MA | Primary |
Addresses
Primary practice location
300 Crown Colony Dr Ste 203
Quincy, MA 02169-0929
Mailing address
99 Kneeland St Apt 1306
Boston, MA 02111-2444
Phone (615) 788-8443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220714001421 | CT | Order and Referring Only - Dentist | 2264813732 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10001190 | MA | MD | Dentist |
| 13393 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Boston Smiles Pediatric Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Greater Boston Smiles
- Pediatric Dentistry
- Quincy, MA
- NPI 1225725286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1578206090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 KNEELAND ST APT 1306",
"city": "BOSTON",
"state": "MA",
"postal_code": "021112444",
"telephone_number": "615-788-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CROWN COLONY DR STE 203",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690929",
"telephone_number": "617-472-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTIOU",
"first_name": "EIRINI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10001190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.