NPIMap

Organization Active NPI

Central Square Smiles

  • General Practice Dentistry
  • East Boston, MA
National Provider Identifier
1881074813
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856422 Issued in MA
Legal business name
CENTRAL SQUARE SMILES
Practice address
38 Central SQ
East Boston, MA 02128-1911
Phone
(617) 569-3131
Fax
(617) 567-5361
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Kunal Bhalla, DDSNPI 1205098175
Title
Dentist
Phone
(917) 574-0508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1856422 MA Primary

Addresses

Primary practice location

38 Central SQ
East Boston, MA 02128-1911

Mailing address

38 Central SQ
East Boston, MA 02128-1911
Phone (617) 569-3131

National Provider Directory

National Provider Directory

Locations

38 Central Sq
East Boston, MA 02128
Phone (617) 569-3131

Practitioners & affiliated clinicians

Practitioners 4

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": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1881074813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CENTRAL SQ",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281911",
            "telephone_number": "617-569-3131",
            "fax_number": "617-567-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CENTRAL SQ",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281911",
            "telephone_number": "617-569-3131",
            "fax_number": "617-567-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SQUARE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "BHALLA",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-574-0508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.