Organization Active NPI

Boston Dental LLC

  • Dentist
  • Boston, MA
National Provider Identifier
1770294134
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BOSTON DENTAL LLC
Practice address
22 Boston Wharf Rd
Boston, MA 02210-3032
Phone
(617) 706-5000
Fax
(617) 874-1076
NPI assigned
Dec 7, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Ariana Nunes
Title
Manager
Phone
(617) 706-5000

Specialties & licenses 1

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

Addresses

Primary practice location

22 Boston Wharf Rd
Boston, MA 02210-3032

Mailing address

22 Boston Wharf Rd
Boston, MA 02210-3032
Phone (617) 706-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.bostondental.com Direct

National Provider Directory

National Provider Directory

Locations

22 Boston Wharf Rd
Boston, MA 02210
Phone (617) 706-5000

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1770294134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BOSTON WHARF RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022103032",
            "telephone_number": "617-706-5000",
            "fax_number": "617-874-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BOSTON WHARF RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022103032",
            "telephone_number": "617-706-5000",
            "fax_number": "617-874-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "NUNES",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-706-5000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bostondental.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "22 Boston Wharf Rd",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022103032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Dec 7, 2022; 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.