Active NPI
Julian Osorio, DMD
- Prosthodontics
- Boston, MA
National Provider Identifier
1902847783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 17115
- Practice address
- 60 Federal St
Boston, MA 02110-2510 - Phone
- (617) 423-6165
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 17115 | MA | Primary |
Addresses
Primary practice location
60 Federal St
Boston, MA 02110-2510
Mailing address
60 Federal St
Boston, MA 02110-2510
Phone (617) 423-6165
Other practice location 1
29 Farragut Rd
Boston, MA 02127-1718
Phone (617) 268-1030
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17115 | MA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parsio-Osorio Dental PLLC | Past | Accepting new patients | |
| South Boston Dental Associates | Past | Accepting new patients | |
| Watkinosorio Dental Associates | Past | Accepting new patients | |
| Osorio South Boston Dental Group DMD PC | Prosthodontics | Past | Accepting new patients |
| Lifetime Dental Professionals of New Hampshire, P.C. | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthodontics
- Boston, MA
- NPI 1568939163
-
- Dental Clinic/Center
- South Boston, MA
- NPI 1356563316
-
- Dentist
- Boston, MA
- NPI 1790838225
-
- General Practice Dentistry
- Exeter, NH
- NPI 1265844518
-
- Dentist
- Exeter, NH
- NPI 1770706830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1902847783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 FEDERAL ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021102510",
"telephone_number": "617-423-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 FEDERAL ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021102510",
"telephone_number": "617-423-6165"
}
],
"practiceLocations": [
{
"address_1": "29 Farragut Rd",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021271718",
"country_code": "US",
"telephone_number": "617-268-1030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSORIO",
"first_name": "JULIAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "17115",
"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 Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.