Organization Active NPI

Kipp Academy Boston

  • Local Education Agency (LEA)
  • Boston, MA
National Provider Identifier
1619318839
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KIPP ACADEMY BOSTON
Practice address
394 Warren St
Boston, MA 02119-1830
Phone
(781) 598-1609
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Christopher Demo
Title
Regional Operation Manager
Phone
(781) 598-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

394 Warren St
Boston, MA 02119-1830

Mailing address

394 Warren St
Boston, MA 02119-1830
Phone (781) 598-1609

National Provider Directory

National Provider Directory

Locations

394 Warren St
Boston, MA 02119
Phone (781) 598-1609

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1619318839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 WARREN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021191830",
            "telephone_number": "781-598-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 WARREN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021191830",
            "telephone_number": "781-598-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP ACADEMY BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "DEMO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "REGIONAL OPERATION MANAGER",
        "authorized_official_telephone_number": "781-598-1609"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 16, 2013; 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.