Active NPI
Sheldon L Duchin, D.M.D.
- Periodontics
- Boston, MA
National Provider Identifier
1821153107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12601
- Practice address
- 1 Kneeland St., 12TH Floor
Tufts University School of Dental Medicine, Dept of Per
Boston, MA 02111 - Phone
- (617) 462-4606
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 12601 | MA | Primary |
Addresses
Primary practice location
1 Kneeland St., 12TH Floor
Tufts University School of Dental Medicine, Dept of Per
Boston, MA 02111
Mailing address
1 Kneeland St., 12TH Floor
Tufts University School of Dental Medicine, Dept of Per
Boston, MA 02111
Phone (617) 462-4606
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12601 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1821153107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KNEELAND ST., 12TH FLOOR",
"address_2": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, DEPT OF PER",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-462-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KNEELAND ST., 12TH FLOOR",
"address_2": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, DEPT OF PER",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-462-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHIN",
"first_name": "SHELDON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "12601",
"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 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.