Organization Active NPI

Boston Center for Oral Health LLC

  • Sleep Specialist (PhD)
  • Boston, MA
National Provider Identifier
1740866342
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Legal business name
BOSTON CENTER FOR ORAL HEALTH LLC
Practice address
400 Commonwealth Ave Ste 104B
Boston, MA 02215-2813
Phone
(617) 536-4620
Fax
(617) 536-3872
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Mr. Luke Amnott
Title
Office Manager
Phone
(617) 536-4620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193400000X SINGLE SPECIALTY GROUP 173F00000X Primary

Addresses

Primary practice location

400 Commonwealth Ave Ste 104B
Boston, MA 02215-2813

Mailing address

400 Commonwealth Ave Ste 104B
Boston, MA 02215-2813
Phone (617) 536-4620

Other identifiers 1

IdentifierTypeStateIssuer
16477OtherMADENTAL LICENSE NUMBER

Other names 1

  • Carmine Morreale Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://chat.solutionreach.com/conversations/ui/messages?viewedSubscriberId=37326 Direct

National Provider Directory

National Provider Directory

Locations

400 Commonwealth Ave
Ste 104B
Boston, MA 02215
Phone (617) 536-4620

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1740866342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COMMONWEALTH AVE STE 104B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152813",
            "telephone_number": "617-536-4620",
            "fax_number": "617-536-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COMMONWEALTH AVE STE 104B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152813",
            "telephone_number": "617-536-4620",
            "fax_number": "617-536-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CENTER FOR ORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "AMNOTT",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-536-4620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "16477",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://chat.solutionreach.com/conversations/ui/messages?viewedSubscriberId=37326",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Commonwealth Ave Ste 104B",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022152813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carmine Morreale",
            "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 Mar 24, 2021; 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.