Organization Active NPI

Teresa M Tse DMD PC

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1659565877
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13737 Issued in MA
Legal business name
TERESA M TSE DMD PC
Practice address
128A Tremont St
5TH FL
Boston, MA 02108-4716
Phone
(617) 482-8550
Fax
(617) 695-3824
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. Teresa M Tse, DMDNPI 1669481800
Title
President
Phone
(671) 482-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13737 MA Primary

Addresses

Primary practice location

128A Tremont St
5TH FL
Boston, MA 02108-4716

Mailing address

128A Tremont St
5TH FL
Boston, MA 02108-4716
Phone (617) 482-8550

Other identifiers 1

IdentifierTypeStateIssuer
9721835MedicaidMA

National Provider Directory

National Provider Directory

Locations

128 Tremont St
#A
Boston, MA 02108
Phone (617) 482-8550

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1659565877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128A TREMONT ST",
            "address_2": "5TH FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084716",
            "telephone_number": "617-482-8550",
            "fax_number": "617-695-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128A TREMONT ST",
            "address_2": "5TH FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084716",
            "telephone_number": "617-482-8550",
            "fax_number": "617-695-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA M TSE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "TSE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "671-482-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9721835",
            "state": "MA"
        }
    ],
    "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 Sep 22, 2011; 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.