IndividualActive
Thitaya Chaiboonyarak
NPI 1003784810 · Student in an Organized Health Care Education/Training Program · Boston, MA
Provider details
- NPI number
- 1003784810
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sole proprietor
- No
- License
- DL101029 (MA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense DL101029 (MA)
Student, Health Care
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 E Newton St
Boston, MA 02118-3552
Phone: (617) 358-8300
Street-level locationGet directions
Mailing address
405 Beacon St Apt 8
Boston, MA 02115-1134
Additional practice locations (2)
- 7000 Great Meadow RdDedham, MA 02026-4090Phone: (781) 234-9700
- 1200 Centre StRoslindale, MA 02131-1000Phone: (617) 363-8000
Registry dates
- Enumerated
- 2025-10-24
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.