NPIMap

Organization Active NPI

President and Fellows of Harvard College

Doing business as Harvard Dental Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
National Provider Identifier
1881852713
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
37230 Issued in MA
Legal business name
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Doing business as
Harvard Dental Center
Practice address
188 Longwood Ave
Boston, MA 02115-5819
Phone
(617) 432-1401
Fax
(617) 432-4258
NPI assigned
May 28, 2008
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESIDENT AND FELLOWS OF HARVARD COLLEGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. Robert Bruce Donoff, DMD MD
Title
Dean
Phone
(617) 432-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 37230 MA Primary

Addresses

Primary practice location

188 Longwood Ave
Boston, MA 02115-5819

Mailing address

188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 432-1401

Other identifiers 1

IdentifierTypeStateIssuer
0200140MedicaidMA

Other names 1

  • Harvard Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
President Fellows of Harva17 organizations share this tax ID, including this one
Part of
President Fellows of Harva

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1881852713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-432-1401",
            "fax_number": "617-432-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-432-1401",
            "fax_number": "617-432-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDENT AND FELLOWS OF HARVARD COLLEGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESIDENT AND FELLOWS OF HARVARD COLLEGE",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "DONOFF",
        "authorized_official_first_name": "ROBERT BRUCE",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "617-432-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "37230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200140",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvard Dental Center",
            "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 May 28, 2008; 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.