NPIMap

Organization Active NPI

Tufts University

  • Public Health Dentistry
  • Boston, MA
National Provider Identifier
1861605123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
1165 Issued in MA
Legal business name
TUFTS UNIVERSITY
Practice address
1 Kneeland St
Oral Medicine Dept. Room 508
Boston, MA 02111-1527
Phone
(617) 636-3932
Fax
(617) 636-4083
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Athena S Papas, D.M.D., PHD.NPI 1164431573
Title
Professor
Phone
(617) 636-3932

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
Public Health Dentistry 1223D0001X 1165 MA Primary

Addresses

Primary practice location

1 Kneeland St
Oral Medicine Dept. Room 508
Boston, MA 02111-1527

Mailing address

1 Kneeland St
Oral Medicine Dept. Room 508
Boston, MA 02111-1527
Phone (617) 636-3932

Other identifiers 2

IdentifierTypeStateIssuer
4105OtherMADENTAL
1165OtherMADENTAL LICENSE

Other names 1

  • Oral Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Tufts Univ Health23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

1 Kneeland St
Rm 508
Boston, MA 02111
Phone (617) 636-3932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861605123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "address_2": "ORAL MEDICINE DEPT. ROOM 508",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-3932",
            "fax_number": "617-636-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "address_2": "ORAL MEDICINE DEPT. ROOM 508",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-3932",
            "fax_number": "617-636-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFTS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPAS",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROFESSOR",
        "authorized_official_telephone_number": "617-636-3932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., PHD."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "1165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "4105",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "1165",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.