Active NPI
Lewis Wharf Dental Associates
- Prosthodontics
- Boston, MA
National Provider Identifier
1609989235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 11614
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William L. Maness, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X07015 | Other | MA | BC/BS |
| 185821 | Other | MA | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- Boston, MA
- NPI 1477747897
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.