Organization Active NPI

Hiroshi Hirayama DMD LLC

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1659789865
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18149 Issued in MA
Legal business name
HIROSHI HIRAYAMA DMD LLC
Practice address
745 Boylston St
Boston, MA 02116-2636
Phone
(617) 536-3054
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Hiroshi Hirayama, DMD
Title
Owner
Phone
(617) 536-3054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18149 MA Primary

Addresses

Primary practice location

745 Boylston St
Boston, MA 02116-2636

Mailing address

134 Walnut Hill Rd
Newton Highlands, MA 02461-1837
Phone (617) 536-3054

Other identifiers 1

IdentifierTypeStateIssuer
1790834463OtherMANPI TYPE 1

National Provider Directory

National Provider Directory

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": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1659789865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WALNUT HILL RD",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611837",
            "telephone_number": "617-536-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162636",
            "telephone_number": "617-536-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIROSHI HIRAYAMA DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "HIRAYAMA",
        "authorized_official_first_name": "HIROSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-536-3054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "18149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1790834463",
            "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 Jul 31, 2014; 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.