NPIMap

Organization Active NPI

Beacon Hill Dental Associates LLC

  • Periodontics
  • Boston, MA
National Provider Identifier
1962976969
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
BEACON HILL DENTAL ASSOCIATES LLC
Practice address
77 Beacon St
Boston, MA 02108-3421
Phone
(617) 523-1910
Fax
(617) 227-8082
NPI assigned
Jan 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Mrs. Nina Gutierrez
Title
Office Manager
Phone
(617) 523-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

77 Beacon St
Boston, MA 02108-3421

Mailing address

77 Beacon St
Boston, MA 02108-3421
Phone (617) 523-1910

Other names 1

  • Beacon Hill Dental Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1962976969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083421",
            "telephone_number": "617-523-1910",
            "fax_number": "617-227-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083421",
            "telephone_number": "617-523-1910",
            "fax_number": "617-227-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HILL DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-523-1910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Hill Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2019; 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.