PRASHANSA GAUTAM
NPI 1700636651
Clinic/Center - Dental in Boston, MA

Q: What is Prashansa Gautam's NPI number?

The NPI number for Prashansa Gautam is 1700636651. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Prashansa Gautam's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Prashansa Gautam was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 25, 2024

50 S HUNTINGTON AVE, BOSTON, MA 02130(617) 232-9500 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prashansa Gautam NPPES

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

PRASHANSA GAUTAM (NPI 1700636651) is an individual dental provider in Boston, Massachusetts and active in the NPI registry since March 2024. She maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1700636651

Entity TypeIndividualFemale

Primary Taxonomy261QD0000X

Provider Legal NamePRASHANSA GAUTAM

Location Address50 S HUNTINGTON AVEBoston, MA 02130-4713

Mailing Address22 College DrStony Brook, NY 11790-2724 · (631) 624-5914

Phone(617) 232-9500

Sole ProprietorYes

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1700636651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

50 S HUNTINGTON AVE, Boston, MA 02130

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Secondary Practice Location 1

Location 122 College DrStony Brook, NY 11790-2724 · Phone (631) 624-5914

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Prashansa Gautam's NPI number?

The NPI number for Prashansa Gautam is 1700636651. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Prashansa Gautam located?

Prashansa Gautam practices at 50 S Huntington Ave, Boston, MA 02130. The listed phone number is (617) 232-9500.

What is Prashansa Gautam's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Prashansa Gautam accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 7 other insurers list Prashansa Gautam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prashansa Gautam was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.