Active NPI
Rachele Luciano, D.M.D
- Endodontics
- Chestnut Hill, MA
National Provider Identifier
1952548208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN1857114
- Practice address
- 822 Boylston St Ste 200
Chestnut Hill, MA 02467-2504 - Phone
- (617) 739-8200
- NPI assigned
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN1857114 | MA | Primary |
Addresses
Primary practice location
822 Boylston St Ste 200
Chestnut Hill, MA 02467-2504
Mailing address
990 VFW Pkwy Apt 401
Boston, MA 02132-4249
Phone (617) 875-3064
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857114 | MA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1952548208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 VFW PKWY APT 401",
"city": "BOSTON",
"state": "MA",
"postal_code": "021324249",
"telephone_number": "617-875-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 BOYLSTON ST STE 200",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672504",
"telephone_number": "617-739-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIANO",
"first_name": "RACHELE",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "DN1857114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.