NPIMap

Organization Active NPI

Beacon Dental Health

  • Dental Clinic/Center
  • Chestnut Hill, MA
National Provider Identifier
1629527601
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN21699 Issued in MA
Legal business name
BEACON DENTAL HEALTH
Practice address
631 VFW Pkwy
Chestnut Hill, MA 02467-3656
Phone
(617) 418-6940
NPI assigned
Oct 1, 2016
Organization subpart
Yes
Parent organization
BEACON DENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2016

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

Authorized official

Name
Rishi Shukla
Title
Administrator
Phone
(617) 418-6940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN21699 MA Primary

Addresses

Primary practice location

631 VFW Pkwy
Chestnut Hill, MA 02467-3656

Mailing address

198 Tremont St
Suite 436
Boston, MA 02116-4705
Phone (617) 418-6940

Other names 1

  • Chestnut Hill Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon Dental Health13 organizations share this tax ID, including this one
Part of
Beacon Dental Health

Other organizations with this tax ID 12

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

Locations

631 Vfw Pkwy
Chestnut Hill, MA 02467

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475280000000",
    "number": "1629527601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 TREMONT ST",
            "address_2": "SUITE 436",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164705",
            "telephone_number": "617-418-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 VFW PKWY",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673656",
            "telephone_number": "617-418-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON DENTAL HEALTH",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-418-6940"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN21699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.