Individual provider Active NPI

Julian Osorio, DMD

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1902847783
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
17115 Issued in MA
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

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
17115MAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Parsio-Osorio Dental PLLC Past Accepting new patients
South Boston Dental Associates Past Accepting new patients
Watkinosorio Dental Associates PastSince Mar 4, 2021 Accepting new patients
Osorio South Boston Dental Group DMD PC Prosthodontics PastSince Mar 4, 2021 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.

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.

Verify at the official NPI Registry.