Individual provider Active NPI

Peter Petrou, DMD

  • General Practice Dentistry
  • Brighton, MA
National Provider Identifier
1649756958
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858091 Issued in MA
Practice address
438 Washington St Unit 1
Brighton, MA 02135-2966
Phone
(617) 782-2267
NPI assigned
Jul 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1858091 MA Primary

Addresses

Primary practice location

438 Washington St Unit 1
Brighton, MA 02135-2966

Mailing address

1330 Boylston St Unit 812
Boston, MA 02215-5524
Phone (331) 218-8868

Other practice location 1

745 Boylston St
Boston, MA 02116-2636
Phone (617) 536-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928001505 MA Order and Referring Only - DentistPractitioner - Dentist 8123379286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858091MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hiroshi Hirayama DMD LLC Past Accepting new patients
Community Family Dental, LLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1649756958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOYLSTON ST UNIT 812",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155524",
            "telephone_number": "331-218-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 WASHINGTON ST UNIT 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352966",
            "telephone_number": "617-782-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Boylston St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162636",
            "country_code": "US",
            "telephone_number": "617-536-3054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROU",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.