Jeffrey C. Sacks DMD Ms PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

17089 Issued in MA

Legal business name

JEFFREY C. SACKS DMD MS PC

Practice address

25 Boylston St
Suite LL02
Chestnut Hill, MA 02467-1715

Phone

(617) 731-8888

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Sacks, DMD MS

Title

President

Phone

(617) 731-8888

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andras Balint, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
  • NPI 1417278847
  Medicare reassignment Care Compare group NPD
• Paul Kalish, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
  • NPI 1467892513
  Medicare reassignment Care Compare group NPD
• Mark Nissenbaum, DMD MDC FCDSA OMFS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chestnut Hill, MA
  • NPI 1902897184
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649301805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST",
            "address_2": "SUITE LL02",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-731-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST",
            "address_2": "SUITE LL02",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-731-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. SACKS DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-731-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "17089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "16612",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "70235804",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X10492",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Ingram-Martin
• Jamielyn Iquina
• Nina V. Isakovich, MD
• Handan Isman, PA-C
• Heidi Jay, LICSW
• Jems Foot Care PLLC (New England Podiatry Associates)
• Anila Jha, MD
• Andrew Joe
• Cynthia E. Johnson, MD
• Lindsay Jessica Johnson, DPM

• Oral and Maxillofacial Surgery (Dentist) in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.