Active NPI
Madison C. Tombari
- Dentist
- Dorchester, MA
National Provider Identifier
1629655121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL14851
- Practice address
- Harbor Health
250 Mt Vernon St
Dorchester, MA 02125 - Phone
- (617) 269-0312
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL14851 | MA | Primary |
Addresses
Primary practice location
Harbor Health
250 Mt Vernon St
Dorchester, MA 02125
Mailing address
601 Albany St Unit 204
Boston, MA 02118-2790
Phone (781) 974-4151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1629655121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ALBANY ST UNIT 204",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182790",
"telephone_number": "781-974-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HARBOR HEALTH",
"address_2": "250 MT VERNON ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02125",
"telephone_number": "617-269-0312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMBARI",
"first_name": "MADISON",
"middle_name": "C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL14851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.