NPIMap

Organization Active NPI

Lab DMD LLC

Doing business as Mass Perio & Dental Implant Center

  • Dental Clinic/Center
  • Brookline, MA
National Provider Identifier
1578390381
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAB DMD LLC
Doing business as
Mass Perio & Dental Implant Center
Practice address
1180 Beacon St Ste 2C
Brookline, MA 02446-3806
Phone
(617) 939-8020
NPI assigned
Sep 16, 2024
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. Wenkai Kao, DMDNPI 1629385646
Title
Owner
Phone
(617) 939-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1180 Beacon St Ste 2C
Brookline, MA 02446-3806

Mailing address

1180 Beacon St Ste 2C
Brookline, MA 02446-3806

Other names 1

  • Mass Perio & Dental Implant Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lab DMD LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1578390381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 2C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 2C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-939-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "WENKAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-939-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mass Perio & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mass Perio & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.