NPIMap

Organization Active NPI

Longwood Dental PLLC

  • Dentist
  • Brookline, MA
National Provider Identifier
1962071100
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LONGWOOD DENTAL PLLC
Practice address
1842 Beacon St Ste 100
Brookline, MA 02445-1964
Phone
(617) 566-5445
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Sabrina Olivero
Title
Team Lead
Phone
(617) 566-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1842 Beacon St Ste 100
Brookline, MA 02445-1964

Mailing address

1842 Beacon St Ste 100
Brookline, MA 02445-1964
Phone (617) 566-5445

Other names 1

  • Longwood Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boston Smile Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1842 Beacon St
Ste 100
Brookline, MA 02445
Phone (617) 566-5445

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1962071100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 100",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451964",
            "telephone_number": "617-566-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 100",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451964",
            "telephone_number": "617-566-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "TEAM LEAD",
        "authorized_official_telephone_number": "617-566-5445"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longwood Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.