TUFTS ORAL MEDICINE CLINIC
NPI 1457636029
Clinic/Center - Dental in Boston, MA

NPI Status: Active since October 14, 2011

Contact Information

1 KNEELAND ST FL 6
BOSTON, MA
ZIP 02111
Phone: (617) 636-3932

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 22D0650217
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 09-16-2026

About TUFTS ORAL MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Tufts Oral Medicine Clinic, a provider established in Boston, Massachusetts operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1457636029 assigned on October 2011. The practitioner's primary taxonomy code is 261QD0000X with license number 12641 (MA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Tufts Oral Medicine Clinic. The authorized official of this NPI record is Dr. Athena S Papas (Director)

NPI
1457636029
Provider Legal Name
TRUSTEES OF TUFTS COLLEGE
Other Organization Name
TUFTS ORAL MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 KNEELAND ST FL 6 BOSTON, MA 02111
Location Phone
(617) 636-3932
Mailing Address
1 KNEELAND ST FL 6 BOSTON, MA 02111
Mailing Phone
(617) 636-3932
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-14-2011
Last Update Date
12-06-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
12641
License State
MA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ATHENA S PAPAS

Authorized Official Title
DIRECTOR
Authorized Official Phone
(617) 636-3932

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0650217
Facility Type
Independent
Certificate Effective Date
September 17, 2024
Certificate Expiration Date
September 16, 2026
Laboratory Director
MARK LERMAN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Tufts Oral Medicine Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457636029, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 2 + 3 + 1 + 2 + 0 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1457636029.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Psychologist
1 KNEELAND ST FL 6
BOSTON, MA 02111
Dentist
1 KNEELAND ST FL 6
BOSTON, MA 02111
Oral Medicine
1 KNEELAND ST FL 6
BOSTON, MA 02111
Dentist (Oral and Maxillofacial Pathology)
1 KNEELAND ST FL 6
BOSTON, MA 02111
Oral Medicine
1 KNEELAND ST FL 6
BOSTON, MA 02111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457636029, enumerated as an "organization" on October 14, 2011.

The provider is located at 1 KNEELAND ST FL 6 BOSTON, MA 02111 and the phone number is (617) 636-3932.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.