Beacon Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18236 Issued in MA

Legal business name

BEACON DENTAL GROUP

Practice address

1016 Blue Hill Ave
Dorchester Center, MA 02124-2808

Phone

(617) 282-2146

NPI assigned

Apr 2, 2008

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cressida Ladonna Joseph, DMDNPI 1518086644

Title

Owner

Phone

(617) 282-2146

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cressida L.G Joseph, DMD

  • General Practice Dentistry
  • Dorchester Center, MA
  • NPI 1518086644
  NPD (past) Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1770756405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 BLUE HILL AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242808",
            "telephone_number": "617-282-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BLUE HILL AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242808",
            "telephone_number": "617-282-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "CRESSIDA",
        "authorized_official_middle_name": "LADONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-282-2146",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrca Augustin, LMT
• David Leon Avery, LMHC
• Percy Ray Ballard, M.D.
• Johnette Basden
• Arona M Bauer, LCSW
• Mark Cyprian Beaumont, MD
• Patricia H Beckford, PSY.D.
• Tatyanah Siedah Belin
• Angela B. Bell, PH.D.
• Kayra Lexus Bell

• General Practice Dentistry in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.