Individual provider Active NPI

Yudi Milena Quintero, DMD

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1902640493
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DNI10000808 Issued in MA
Practice address
328 Newbury St
Boston, MA 02115-2715
Phone
(617) 536-5182
NPI assigned
Jun 20, 2024
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 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

LicenseStateTypeSpecialty
DNI10000808MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.