Organization Active NPI

Royal Dental Boston PC

  • Dentist
  • Brookline, MA
National Provider Identifier
1912540444
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROYAL DENTAL BOSTON PC
Practice address
1051 Beacon St Ste 514
Brookline, MA 02446-5622
Phone
(617) 608-3463
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Dr. Jennifer Lee Gregorio, DMD
Title
Owner
Phone
(774) 254-4329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1051 Beacon St Ste 514
Brookline, MA 02446-5622

Mailing address

1051 Beacon St Ste 514
Brookline, MA 02446-5622
Phone (617) 608-3463

National Provider Directory

National Provider Directory

Locations

1051 Beacon St
Ste 514
Brookline, MA 02446
Phone (617) 383-5275

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1912540444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST STE 514",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465622",
            "telephone_number": "617-608-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST STE 514",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465622",
            "telephone_number": "617-608-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL DENTAL BOSTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "GREGORIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-254-4329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.