Individual provider Active NPI

Benoit P Trottier III

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1881088169
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1857151 Issued in MA
Practice address
21 Bay State Rd
#3
Boston, MA 02215-2101
Phone
(802) 318-2643
NPI assigned
Mar 24, 2015
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1857151 MA Primary

Addresses

Primary practice location

21 Bay State Rd
#3
Boston, MA 02215-2101

Mailing address

44 Irving St
#1
Boston, MA 02114-3950
Phone (802) 318-2643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151120001107 VT Order and Referring Only - DentistPractitioner - Dentist 9436459500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857151MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cohasset Village Dentistry, PC General Practice Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1881088169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 IRVING ST",
            "address_2": "#1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143950",
            "telephone_number": "802-318-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BAY STATE RD",
            "address_2": "#3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152101",
            "telephone_number": "802-318-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTIER",
        "first_name": "BENOIT",
        "middle_name": "P",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.