NPIMap

Organization Active NPI

Future Smiles of America

  • Dental Clinic/Center
  • Brookline, MA
National Provider Identifier
1811213093
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21838 Issued in MA
Legal business name
FUTURE SMILES OF AMERICA
Practice address
226 Winchester St
2
Brookline, MA 02446-2767
Phone
(617) 906-0404
Fax
(617) 906-5403
NPI assigned
Apr 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Dr. Paul S Kahlon, D.M.D.
Title
President
Phone
(617) 609-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21838 MA Primary

Addresses

Primary practice location

226 Winchester St
2
Brookline, MA 02446-2767

Mailing address

226 Winchester St
2
Brookline, MA 02446-2767
Phone (617) 906-0404

Other identifiers 1

IdentifierTypeStateIssuer
99034028MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1811213093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 WINCHESTER ST",
            "address_2": "2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462767",
            "telephone_number": "617-906-0404",
            "fax_number": "617-906-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 WINCHESTER ST",
            "address_2": "2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462767",
            "telephone_number": "617-906-0404",
            "fax_number": "617-906-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE SMILES OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "KAHLON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-609-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "21838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99034028",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.