NPIMap

Organization Active NPI

Beacon Hill Dental Associates

  • Dental Clinic/Center
  • Boston, MA
National Provider Identifier
1770827479
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN1855304 Issued in MA
Legal business name
BEACON HILL DENTAL ASSOCIATES
Practice address
77 Beacon St
Boston, MA 02108-3421
Phone
(617) 523-1910
Fax
(617) 227-8082
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. Maria E Gonzalez, DDS
Title
Owner
Phone
(617) 523-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN1855304 MA Primary

Addresses

Primary practice location

77 Beacon St
Boston, MA 02108-3421

Mailing address

77 Beacon St
Boston, MA 02108-3421
Phone (617) 523-1910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1770827479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083421",
            "telephone_number": "617-523-1910",
            "fax_number": "617-227-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083421",
            "telephone_number": "617-523-1910",
            "fax_number": "617-227-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HILL DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-523-1910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1855304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 19, 2012; 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.