Active NPI
Yudi Milena Quintero, DMD
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1902640493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DNI10000808
- Practice address
- 328 Newbury St
Boston, MA 02115-2715 - Phone
- (617) 536-5182
- NPI assigned
- Jun 20, 2024
- Last updated
- Sep 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DNI10000808 | MA | Primary |
Addresses
Primary practice location
328 Newbury St
Boston, MA 02115-2715
Mailing address
725 Tremont St Apt 402
Boston, MA 02118-3423
Phone (857) 413-1865
Other practice location 1
50 West St
Beverly, MA 01915-2228
Phone (978) 927-3515
Other practice location 2
68 New Edgerly Rd
Boston, MA 02115-3503
Phone (617) 262-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DNI10000808 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard D Carr DDS | Past | Accepting new patients | |
| Diba Dastajerdi DMD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Boston, MA
- NPI 1124173612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1902640493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 TREMONT ST APT 402",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183423",
"telephone_number": "857-413-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 NEWBURY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021152715",
"telephone_number": "617-536-5182"
}
],
"practiceLocations": [
{
"address_1": "50 West St",
"address_purpose": "LOCATION",
"city": "Beverly",
"state": "MA",
"postal_code": "019152228",
"country_code": "US",
"telephone_number": "978-927-3515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "68 New Edgerly Rd",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021153503",
"country_code": "US",
"telephone_number": "617-262-5880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTERO",
"first_name": "YUDI",
"middle_name": "MILENA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-20",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DNI10000808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.