Active NPI
Pinelopi Pani
- Periodontics
- Boston, MA
National Provider Identifier
1689939399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DL11429
- Practice address
- 1 Kneeland St
Department of Peirodontology 12TH Floor
Boston, MA 02111-1527 - Phone
- (617) 636-6888
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DL11429 | MA | Primary |
Addresses
Primary practice location
1 Kneeland St
Department of Peirodontology 12TH Floor
Boston, MA 02111-1527
Mailing address
151 Tremont St
Apt. #6G
Boston, MA 02111-1125
Phone (857) 991-9363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL11429 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1689939399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 TREMONT ST",
"address_2": "APT. #6G",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111125",
"telephone_number": "857-991-9363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND ST",
"address_2": "DEPARTMENT OF PEIRODONTOLOGY 12TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111527",
"telephone_number": "617-636-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANI",
"first_name": "PINELOPI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DL11429",
"primary": true
}
],
"identifiers": [],
"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 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.