Organization Active NPI

Lewis Wharf Dental Associates

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1609989235
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
11614 Issued in MA
Legal business name
LEWIS WHARF DENTAL ASSOCIATES
Practice address
28 Atlantic Ave.
Ste. 237
Boston, MA 02110
Phone
(617) 227-4831
Fax
(617) 227-3174
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. William L. Maness, DDSNPI 1477747897
Title
Owner
Phone
(617) 227-4831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 11614 MA Primary

Addresses

Primary practice location

28 Atlantic Ave.
Ste. 237
Boston, MA 02110

Mailing address

28 Atlantic Ave.
Office 237
Boston, MA 02110
Phone (617) 227-4831

Other identifiers 2

IdentifierTypeStateIssuer
X07015OtherMABC/BS
185821OtherMAUNITED CONCORDIA

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1609989235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ATLANTIC AVE.",
            "address_2": "OFFICE 237",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02110",
            "telephone_number": "617-227-4831",
            "fax_number": "617-227-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ATLANTIC AVE.",
            "address_2": "STE. 237",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02110",
            "telephone_number": "617-227-4831",
            "fax_number": "617-227-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS WHARF DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MANESS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-227-4831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "11614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "X07015",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "185821",
            "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 Jul 30, 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.