Active NPI
Aupaiporn Grace Jotikabhukkana
- Dentist
- Boston, MA
National Provider Identifier
1932375839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21218
- Practice address
- 551 Boylston St Ste 501
Boston, MA 02116-3605 - Phone
- (617) 536-4020
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 21218 | MA | Primary |
Addresses
Primary practice location
551 Boylston St Ste 501
Boston, MA 02116-3605
Mailing address
551 Boylston St Ste 501
Boston, MA 02116-3605
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 |
|---|---|---|---|
| 21218 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copley Dental Associates | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Boston, MA
- NPI 1427223320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1932375839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 BOYLSTON ST STE 501",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 BOYLSTON ST STE 501",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163605",
"telephone_number": "617-536-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOTIKABHUKKANA",
"first_name": "AUPAIPORN",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "21218",
"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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.