NPIMap

Organization Active NPI

Dental Partners of Brookline

  • Dentist
  • Brookline, MA
National Provider Identifier
1720618663
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL PARTNERS OF BROOKLINE
Practice address
1540 Beacon St
Brookline, MA 02446-2215
Phone
(617) 738-1950
NPI assigned
Jan 20, 2020
Organization subpart
Yes
Parent organization
ADVANCED DENTAL MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Dr. Richard Miller
Title
Ceo
Phone
(617) 738-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1540 Beacon St
Brookline, MA 02446-2215

Mailing address

1540 Beacon St
Brookline, MA 02446-2215
Phone (617) 738-1950

National Provider Directory

National Provider Directory
Part of
Dental Partners of Brookline

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1720618663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462215",
            "telephone_number": "617-738-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462215",
            "telephone_number": "617-738-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PARTNERS OF BROOKLINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED DENTAL MANAGEMENT",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-738-1950",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.

Verify at the official NPI Registry.