Organization Active NPI

Waban Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Newton, MA
National Provider Identifier
1740146349
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WABAN PEDIATRIC DENTISTRY, PC
Practice address
1180 Beacon St
Newton, MA 02461-1103
Phone
(617) 527-6061
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Brian Gaff
Title
Operations
Phone
(339) 499-8147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1180 Beacon St
Newton, MA 02461-1103

Mailing address

1180 Beacon St
Newton, MA 02461-1103
Phone (617) 527-6061

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1740146349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611103",
            "telephone_number": "617-527-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611103",
            "telephone_number": "617-527-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABAN PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "GAFF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "339-499-8147"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

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