Active NPI
Joseph Paul Nore, DDS
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1992716468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14035
- Practice address
- 586 Tremont St
Boston, MA 02132 - Phone
- (617) 267-3334
- Fax
- (617) 450-0656
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14035 | MA | Primary |
Addresses
Primary practice location
586 Tremont St
Boston, MA 02132
Mailing address
PO Box 320-225
West Roxbury, MA 02132
Phone (617) 267-3334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252832 | Medicaid | MA |
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 |
|---|---|---|---|
| 14035 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1992716468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320-225",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "617-267-3334",
"fax_number": "617-450-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 TREMONT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02132",
"telephone_number": "617-267-3334",
"fax_number": "617-450-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORE",
"first_name": "JOSEPH",
"middle_name": "PAUL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "14035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0252832",
"state": "MA"
}
],
"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 May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.