Individual provider Active NPI

Khushboo Jain, D.M.D

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1669849816
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1857039 Issued in MA
Practice address
253 Adams St
Boston, MA 02122-1334
Phone
(617) 265-5606
Fax
(617) 265-3803
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 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 1857039 MA Primary

Addresses

Primary practice location

253 Adams St
Boston, MA 02122-1334

Mailing address

253 Adams St
Boston, MA 02122-1334
Phone (617) 265-5606

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
I20160519000012 MA Order and Referring Only - DentistPractitioner - Dentist 6800185554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1857039MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
137 S St Smile Studio PLLC Current Accepting new patients
Smile Studio PLLC CurrentSince Oct 12, 2025 Accepting new patients
Frank Y. Shin, DMD, PC General Practice Past Accepting new patients
Brockton Smiles Youth Dentistry, LLC General Practice Past Accepting new patients

Locations

253 Adams St
Dorchester, MA 02122
Phone (617) 265-5606

Organizations & group practices 4

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1669849816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 ADAMS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021221334",
            "telephone_number": "617-265-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 ADAMS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021221334",
            "telephone_number": "617-265-5606",
            "fax_number": "617-265-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "KHUSHBOO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1857039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.