Richard Sladkov Brewer, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1859249 Issued in MA

Practice address

77 Franklin St Ste 808
Boston, MA 02110-1510

Phone

(617) 426-4100

NPI assigned

Jun 2, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Richard Brewer, DMD, PC

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1831963966
  NPD Authorized official

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1831547678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741508",
            "telephone_number": "650-576-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 FRANKLIN ST STE 808",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101510",
            "telephone_number": "617-426-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "RICHARD",
        "middle_name": "SLADKOV",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64919",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1859249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Charles Breu III, M.D.
• Anna Brewer
• Edward Brewer, M.D.
• Nathan Quinter Brewer, MSW
• Paul G Brewer, LCSW
• Thomas Anderson Brewer, PH.D.
• Dorothy Brewin, CNM
• Anne C Brewster, MD
• David Charles Brewster, MD
• Stephanie Anne Brewster, RDN, LD

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.