NPIMap

Organization Active NPI

Boston Endodontics

  • Endodontics
  • Boston, MA
National Provider Identifier
1942218706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
15626 Issued in MA
Legal business name
BOSTON ENDODONTICS
Practice address
5 Longfellow PL
Ste 205
Boston, MA 02114-2839
Phone
(617) 742-3525
Fax
(617) 742-6911
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Mark Gabe, DMDNPI 1194733956
Title
President
Phone
(781) 245-8828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 15626 MA Primary

Addresses

Primary practice location

5 Longfellow PL
Ste 205
Boston, MA 02114-2839

Mailing address

50 Salem St
BLDG a
Lynnfield, MA 01940-2622
Phone (781) 245-8828

National Provider Directory

National Provider Directory
Tax ID family
Boston Endodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 Longfellow Pl
Ste 205
Boston, MA 02114
Phone (617) 742-3525

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942218706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SALEM ST",
            "address_2": "BLDG A",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402622",
            "telephone_number": "781-245-8828",
            "fax_number": "781-224-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LONGFELLOW PL",
            "address_2": "STE 205",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142839",
            "telephone_number": "617-742-3525",
            "fax_number": "617-742-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-245-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "15626",
            "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 Aug 22, 2020; 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.