NPIMap

Organization Active NPI

Trustees of Boston University

Doing business as Boston University Dental Health Center - 930 Commonwealth Ave.

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1598818122
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4954 Issued in MA
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Doing business as
Boston University Dental Health Center - 930 Commonwealth Ave.
Practice address
930 Commonwealth Ave
Boston, MA 02215-1274
Phone
(617) 358-1000
Fax
(617) 358-1010
NPI assigned
Jan 18, 2007
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUSTEES OF BOSTON UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Jeffrey W Hutter, DMD, MEDNPI 1164545968
Title
Professor and Dean
Phone
(617) 638-4780

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 10

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 4954 MA
General Practice Dentistry 1223G0001X 4954 MA Primary
Pediatric Dentistry 1223P0221X 4954 MA
Periodontics 1223P0300X 4954 MA
Prosthodontics 1223P0700X 4954 MA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4954 MA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4954 MA
Dental Hygienist 124Q00000X 4954 MA
Dental Assistant 126800000X 4954 MA
Dental Laboratory Technician 126900000X 4954 MA

Addresses

Primary practice location

930 Commonwealth Ave
Boston, MA 02215-1274

Mailing address

930 Commonwealth Ave
Boston, MA 02215-1274
Phone (617) 358-1000

Other names 1

  • Boston University Dental Health Center - 930 Commonwealth Ave. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boston University Henry M Goldman School of Dental Medicine22 organizations share this tax ID, including this one
Part of
Boston University Henry M Goldman School of Dental Medicine

Other organizations with this tax ID 21

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

View all 21

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1598818122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151274",
            "telephone_number": "617-358-1000",
            "fax_number": "617-358-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151274",
            "telephone_number": "617-358-1000",
            "fax_number": "617-358-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF BOSTON UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF BOSTON UNIVERSITY",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROFESSOR AND DEAN",
        "authorized_official_telephone_number": "617-638-4780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MED"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "4954",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "4954",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "4954",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "4954",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "4954",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "4954",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "4954",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "4954",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MA",
            "license": "4954",
            "primary": false
        },
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "MA",
            "license": "4954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston University Dental Health Center - 930 Commonwealth Ave.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 2008; 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.