Individual provider Active NPI

Mary Nelligan Cella, DDS

  • Dentist
  • Boston, MA
National Provider Identifier
1780328500
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859387 Issued in MA
Practice address
635 Albany St # G744
Boston, MA 02118-3550
Phone
(617) 358-3446
Fax
(617) 358-4700
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN1859387 MA Primary

Addresses

Primary practice location

635 Albany St # G744
Boston, MA 02118-3550

Mailing address

635 Albany St # G744
Boston, MA 02118-3550
Phone (617) 358-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808001203 MA Practitioner - Pediatric Dentistry 9335686328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1859387MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Boston University CurrentSince Jul 15, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients

Locations

100 East Newton St
#G407
Boston, MA 02118
Phone (617) 638-4350

110 Francis St
Ste 3A
Boston, MA 02215
Phone (617) 632-9780

Interoperability endpoints

  • Direct secure messaging: mcella173385@direct.bmc.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1780328500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ALBANY ST # G744",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183550",
            "telephone_number": "617-358-3446",
            "fax_number": "617-358-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ALBANY ST # G744",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183550",
            "telephone_number": "617-358-3446",
            "fax_number": "617-358-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELLA",
        "first_name": "MARY NELLIGAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.