Active NPI
Terence William Prendiville, M.D.
- Children's Hospital
- Boston, MA
National Provider Identifier
1952506024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- Practice address
- 300 Longwood Avenue, Bader 209
Children's Hospital Boston, Department of Cardiology,
Boston, MA 02115-5737 - Phone
- (617) 355-2706
- Fax
- (617) 739-6282
- NPI assigned
- Jun 19, 2007
- Last updated
- Jun 15, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Children's Hospital | 282NC2000X | NU | Primary |
Addresses
Primary practice location
300 Longwood Avenue, Bader 209
Children's Hospital Boston, Department of Cardiology,
Boston, MA 02115-5737
Mailing address
2702 Lighthouse PT E
Apartment 730
Baltimore, MD 21224-4759
Phone (410) 624-8987
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1952506024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 LIGHTHOUSE PT E",
"address_2": "APARTMENT 730",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244759",
"telephone_number": "410-624-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVENUE, BADER 209",
"address_2": "CHILDREN'S HOSPITAL BOSTON, DEPARTMENT OF CARDIOLOGY,",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155737",
"telephone_number": "617-355-2706",
"fax_number": "617-739-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDIVILLE",
"first_name": "TERENCE",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.