Individual provider Active NPI

Paul Sim

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1790427771
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN10000701 Issued in MA
Practice address
50 Staniford St Ste 303
Boston, MA 02114-2542
Phone
(617) 606-6420
NPI assigned
Apr 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN10000701 MA Primary

Addresses

Primary practice location

50 Staniford St Ste 303
Boston, MA 02114-2542

Mailing address

50 Malden St Apt 214
Boston, MA 02118-2889
Phone (201) 800-1541

Other practice location 1

599 North Ave
Wakefield, MA 01880-1648
Phone (781) 463-5029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10000701MAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Sim PLLC Prosthodontics CurrentSince Aug 3, 2025 Accepting new patients

Locations

50 Staniford St
Ste 303
Boston, MA 02114
Phone (617) 523-4555

Organizations & group practices 1

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1790427771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MALDEN ST APT 214",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182889",
            "telephone_number": "201-800-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 303",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142542",
            "telephone_number": "617-606-6420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 North Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "MA",
            "postal_code": "018801648",
            "country_code": "US",
            "telephone_number": "781-463-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIM",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN10000701",
            "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 Aug 5, 2025; 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.