NPIMap

Organization Active NPI

Tufts University School of Dental Medicine

Doing business as Tufts University CBCT Imaging Clinic

  • Oral and Maxillofacial Radiology Dentistry
  • Boston, MA
National Provider Identifier
1861931867
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
Legal business name
TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Doing business as
Tufts University CBCT Imaging Clinic
Practice address
1 Kneeland St
3Rd FL
Boston, MA 02111-1527
Phone
(617) 636-6812
NPI assigned
Feb 23, 2017
Organization subpart
Yes
Parent organization
TRUSTEES OF TUFTS COLLEGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Beth Conant
Title
Dir Clinic Finance & Administration
Phone
(617) 636-6842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0008X Primary

Addresses

Primary practice location

1 Kneeland St
3Rd FL
Boston, MA 02111-1527

Mailing address

200 Harrison Ave
2ND FL
Boston, MA 02111-1836
Phone (617) 636-0451

Other names 1

  • Tufts University CBCT Imaging Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tufts University Lab23 organizations share this tax ID, including this one
Part of
Tufts University Lab

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1861931867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HARRISON AVE",
            "address_2": "2ND FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111836",
            "telephone_number": "617-636-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "address_2": "3RD FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF TUFTS COLLEGE",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "CONANT",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIR CLINIC FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "617-636-6842"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tufts University CBCT Imaging Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 28, 2017; 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.