Active NPI
My Brookline Orthodontist, PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brookline, MA
National Provider Identifier
1770174708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- MY BROOKLINE ORTHODONTIST, PC
- Practice address
- 1170 Beacon St
Brookline, MA 02446-3963 - Phone
- (508) 872-3072
- NPI assigned
- Feb 2, 2021
- 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
- Todd Pachello
- Title
- Chief Revenue Officer
- Phone
- (720) 475-6482
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
1170 Beacon St
Brookline, MA 02446-3963
Mailing address
5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900
Phone (617) 468-6550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1770174708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MOUNT ROYAL AVE STE 300",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521900",
"telephone_number": "617-468-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463963",
"telephone_number": "508-872-3072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY BROOKLINE ORTHODONTIST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "PACHELLO",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
"authorized_official_telephone_number": "720-475-6482"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.