Organization Active NPI

Norbert J Shay DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Boston, MA
National Provider Identifier
1669485835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11025 Issued in MA
Legal business name
NORBERT J SHAY DMD PC
Practice address
599 E Broadway
South Boston, MA 02127
Phone
(617) 269-3957
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Norbert James Shay, DMD M SCDNPI 1497769327
Title
President
Phone
(617) 269-3957

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 11025 MA Primary

Addresses

Primary practice location

599 E Broadway
South Boston, MA 02127

Mailing address

599 E Broadway
South Boston, MA 02127
Phone (617) 269-3957

Other identifiers 2

IdentifierTypeStateIssuer
97157381MedicaidMA
0234117MedicaidMA

National Provider Directory

National Provider Directory

Locations

599 E Broadway
South Boston, MA 02127
Phone (617) 269-3957

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669485835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 E BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "02127",
            "telephone_number": "617-269-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 E BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "02127",
            "telephone_number": "617-269-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORBERT J SHAY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAY",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-269-3957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD M SCD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "11025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97157381",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234117",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, MA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.