MEDICARE: DR. KALPAKAM A SHASTRI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	20253	MA
2	1223G0001X	General Practice Dentistry	DEN1000938	DC
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DEN1000938	DC

General Provider Information

NPI Number	:	1225106446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KALPAKAM A SHASTRI DDS

Provider Business Mailing Address
First Line	:	1 KNEELAND ST
Second Line	:	5TH FLOOR
City	:	BOSTON
State	:	MA
Zip	:	02111-1527
Country	:	US
Telephone Number	:	617-636-6515
Fax Number	:	617-636-6809

Provider Business Practice Location Address
First Line	:	1 KNEELAND ST
Second Line	:	5TH FLOOR
City	:	BOSTON
State	:	MA
Zip	:	02111-1527
Country	:	US
Telephone Number	:	617-636-6515
Fax Number	:	617-636-6809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	04/13/2015

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1740251289 — DR. NOSHIR MEHTA DMD
Practice Location Address:

1 KNEELAND ST
BOSTON, MA
02111-1527

Practice Phone: 617-636-6817
Practice Fax: 617-636-3831

1588625727 — DAVID E PRINDIVILLE DMD
Practice Location Address:

1 KNEELAND ST
BOSTON, MA
02111-1527

Practice Phone: 617-636-6828
Practice Fax:

1154351047 — DR. ROGER B GALBURT D.D.S.
Practice Location Address:

1 KNEELAND ST
BOSTON, MA
02111-1527

Practice Phone: 617-636-0888
Practice Fax:

1295819217 — MARK A LERMAN DMD
Practice Location Address:

1 KNEELAND ST RM 646
BOSTON, MA
02111-1527

Practice Phone: 617-636-6510
Practice Fax:

1790848141 — DR. DONGWOO PARK DDS DMD MSD
Practice Location Address:

1 KNEELAND ST
BOSTON, MA
02111-1527

Practice Phone: 617-636-6556
Practice Fax: 617-636-6583

Directions to “ DR. KALPAKAM A SHASTRI DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.