Organization Active NPI

Microsurgical Endodontics

  • Endodontics
  • Boston, MA
National Provider Identifier
1851071757
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MICROSURGICAL ENDODONTICS
Practice address
607 Boylston St Ste 202
Boston, MA 02116-3643
Phone
(617) 236-7818
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Justine Chiou, DMDNPI 1194307983
Title
Practice Owner
Phone
(240) 630-0364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

607 Boylston St Ste 202
Boston, MA 02116-3643

Mailing address

81 Pine St Apt 5
Cambridge, MA 02139-2740

National Provider Directory

National Provider Directory

Locations

607 Boylston St
Ste 202
Boston, MA 02116
Phone (617) 236-7818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1851071757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 PINE ST APT 5",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BOYLSTON ST STE 202",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163643",
            "telephone_number": "617-236-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROSURGICAL ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "CHIOU",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "240-630-0364",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "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 Jul 25, 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.