Organization Active NPI

Waban Dental Group

  • General Practice Dentistry
  • Newton, MA
National Provider Identifier
1851466023
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14183 Issued in MA
Legal business name
WABAN DENTAL GROUP
Practice address
1180 Beacon Street
Newton, MA 02461-1103
Phone
(617) 527-6061
Fax
(617) 964-3919
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas S Howie, DMD
Title
President
Phone
(617) 527-6061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14183 MA Primary

Addresses

Primary practice location

1180 Beacon Street
Newton, MA 02461-1103

Mailing address

1180 Beacon Street
Newton, MA 02461-1103
Phone (617) 527-6061

National Provider Directory

National Provider Directory

Locations

1180 Beacon St
Newton Hlds, MA 02461
Phone (617) 527-6061

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851466023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611103",
            "telephone_number": "617-527-6061",
            "fax_number": "617-964-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611103",
            "telephone_number": "617-527-6061",
            "fax_number": "617-964-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABAN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-527-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.