NPIMap

Organization Active NPI

Tufts University

  • Dental Clinic/Center
  • Boston, MA
National Provider Identifier
1710100672
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4105 Issued in MA
Legal business name
TUFTS UNIVERSITY
Practice address
1 Kneeland St
Clinic Business Office
Boston, MA 02111-1527
Phone
(617) 636-3746
Fax
(617) 636-6994
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mrs. Beth Ann Conant
Title
Director of Finance and Admin
Phone
(617) 636-6842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4105 MA Primary

Addresses

Primary practice location

1 Kneeland St
Clinic Business Office
Boston, MA 02111-1527

Mailing address

1 Kneeland St FL 3
Boston, MA 02111-1527
Phone (617) 636-3746

Other identifiers 2

IdentifierTypeStateIssuer
0241822MedicaidMA
0241695MedicaidMA

Other names 1

  • Clinical Affaris Other name

National Provider Directory

National Provider Directory
Tax ID family
Tufts University Lab23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

1 Kneeland St
Ofc
Boston, MA 02111
Phone (617) 636-3746

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1710100672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-3746",
            "fax_number": "617-636-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "address_2": "CLINIC BUSINESS OFFICE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-3746",
            "fax_number": "617-636-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFTS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "CONANT",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND ADMIN",
        "authorized_official_telephone_number": "617-636-6842",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "4105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241822",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241695",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Affaris",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 29, 2025; 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.