Active NPI
Dorchester Pediatric Dentistry and Orthodontics, PC
- Pediatric Dentistry
- Boston, MA
National Provider Identifier
1700387453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN20698
- Legal business name
- DORCHESTER PEDIATRIC DENTISTRY AND ORTHODONTICS, PC
- Practice address
- 1192 Blue Hill Ave Unit 1192
Boston, MA 02126-1819 - Phone
- (617) 501-7773
- NPI assigned
- Feb 27, 2018
- Last updated
- Feb 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vandana Soni, DMD
- Title
- President
- Phone
- (617) 501-7773
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN20698 | MA | Primary |
| Pediatric Dentistry | 1223P0221X | DN21051 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN21679 | MA |
Addresses
Primary practice location
1192 Blue Hill Ave Unit 1192
Boston, MA 02126-1819
Mailing address
8 Brighton St Apt 3
Charlestown, MA 02129-1260
National Provider Directory
National Provider DirectoryLocations
1192 Blue Hill Ave
Unit 1192
Boston, MA 02126
Phone (617) 501-7773
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Chelsea, MA
- NPI 1922033208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582156800000",
"number": "1700387453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BRIGHTON ST APT 3",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1192 BLUE HILL AVE UNIT 1192",
"city": "BOSTON",
"state": "MA",
"postal_code": "021261819",
"telephone_number": "617-501-7773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORCHESTER PEDIATRIC DENTISTRY AND ORTHODONTICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-27",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A",
"authorized_official_last_name": "SONI",
"authorized_official_first_name": "VANDANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-501-7773",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN20698",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN21051",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "DN21679",
"primary": false
}
],
"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 Feb 20, 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.