Active NPI
Michael O Toole, DMD
- Prosthodontics
- Boston, MA
National Provider Identifier
1578617163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 20903
- Practice address
- 800 Boylston Street
Suite 200
Boston, MA 02199 - Phone
- (617) 259-1100
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20903 | MA | |
| Prosthodontics | 1223P0700X | 20903 | MA | Primary |
Addresses
Primary practice location
800 Boylston Street
Suite 200
Boston, MA 02199
Mailing address
800 Boylston Street
Suite 200
Boston, MA 02199
Phone (617) 259-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X09320 | Other | MA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 6, 2017 through Nov 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20903 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Partners of Boston | Prosthodontics | Current | Accepting new patients |
Locations
800 Boylston St
Ste 200
Boston, MA 02199
Phone (617) 259-1100
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.
-
- Prosthodontics
- Boston, MA
- NPI 1033888433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1578617163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BOYLSTON STREET",
"address_2": "SUITE 200",
"city": "BOSTON",
"state": "MA",
"postal_code": "02199",
"telephone_number": "617-259-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BOYLSTON STREET",
"address_2": "SUITE 200",
"city": "BOSTON",
"state": "MA",
"postal_code": "02199",
"telephone_number": "617-259-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O TOOLE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "20903",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "20903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "X09320",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}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 Mar 9, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.