NPIMap

Organization Active NPI

Greater Boston Smiles Pediatric Dentistry, PC

  • Dentist
  • Quincy, MA
National Provider Identifier
1932533916
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21638 Issued in MA
Legal business name
GREATER BOSTON SMILES PEDIATRIC DENTISTRY, PC
Practice address
21 Totman St
Suite 200
Quincy, MA 02169-7564
Phone
(671) 834-4573
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Brian Francis Shaughnessy, DMD
Title
President/Pediatric Dentist
Phone
(617) 834-4573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN21638 MA Primary

Addresses

Primary practice location

21 Totman St
Suite 200
Quincy, MA 02169-7564

Mailing address

21 Totman St
Suite 200
Quincy, MA 02169-7564
Phone (671) 834-4573

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1932533916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TOTMAN ST",
            "address_2": "SUITE 200",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697564",
            "telephone_number": "671-834-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TOTMAN ST",
            "address_2": "SUITE 200",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697564",
            "telephone_number": "671-834-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON SMILES PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "SHAUGHNESSY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "617-834-4573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN21638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.