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MR. JUSTIN ALEXANDER MIDDLETON DMD
NPI 1073216073
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 27, 2023PECOS Enrolled
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118(617) 638-8000 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2023, Mar 27, 2023 (2 updates tracked since 2023).

About Mr. Justin Alexander Middleton Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN ALEXANDER MIDDLETON DMD (NPI 1073216073) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in (390200000X) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073216073
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JUSTIN ALEXANDER MIDDLETONCredential: DMD
Location Address1 BOSTON MEDICAL CTR PL STE 1Boston, MA 02118-2999
Mailing Address1 Boston Medical Ctr Pl Ste 1Boston, MA 02118-2999 · (617) 638-8000
Phone(617) 638-8000
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1073216073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed · 390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BOSTON MEDICAL CTR PL STE 1, Boston, MA 02118
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Secondary Practice Locations 2

Location 1635 Albany StBoston, MA 02118-3550 · Phone (617) 358-8300
Location 2725 Albany St Fl 6Boston, MA 02118-3549 · Phone (617) 414-2243

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Justin Alexander Middleton Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN GREBBER
Pediatrics
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. WILFREDO JHOEL JAVIER ROJAS MD
Internal Medicine
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000
BRETT S. NOWLAN PA-C
Physician Assistant
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 414-5481
ALI AHMAD SIDDIQUI MD
Radiology (Diagnostic Radiology)
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000
RICARLY REGIS
Respiratory Therapist, Registered
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000
LINDA GOUSBY CARC
Peer Specialist
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-5510
YILDIRIM HAN OZDEMIR MD
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 699-4089
MEGHAN BOSHART
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Middleton's NPI number?

The NPI number for Justin Middleton is 1073216073. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Justin Middleton located?

Justin Middleton practices at 1 Boston Medical Ctr Pl Ste 1, Boston, MA 02118. The listed phone number is (617) 638-8000.

What is Justin Middleton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Middleton enrolled in Medicare?

Yes. Justin Middleton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Middleton was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.