CHAN ORTHODONTIC DENTISTRY LLC (NPI# 1013483981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013483981 |
| Entity Type | Organization |
| Organization Name | CHAN ORTHODONTIC DENTISTRY LLC |
| Practice Address |
2359 Mendon Rd Cumberland RI 02864-3707 |
| Practice Telephone | 4013343070 |
| Practice Fax Number | 4013349031 |
| Mailing Telephone | 4013343070 |
| Mailing Fax Number | 4013349031 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | MRS. TINA MATOS (BOOKKEEPER) |
| Authorized Official Telephone | 4013343070 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM B. CHAN DMD, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
2359 MENDON RD |
| City | CUMBERLAND |
| State | RI |
| Zip Code | 02864-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194887661 | William B Chan | Dentist | 2359 Mendon Rd, Cumberland, RI 02864-3707 | 2006-12-14 |
| 1538593223 | Benjamin Ming Fei Chan | Dentist | 2359 Mendon Rd, Cumberland, RI 02864-3707 | 2013-08-29 |
| 1861554347 | William B. Chan Dmd, Inc. | Dentist | 2359 Mendon Rd, Cumberland, RI 02864-3707 | 2006-12-14 |
| 1548322035 | Denise M Goodman | Dentist | 2359 Mendon Rd, Cumberland, RI 02864-3707 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
| 1861930489 | Emily Elizabeth Sullivan | Registered Nurse | 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 | 2017-02-02 |
| 1649613399 | Nathan Charpentier | Pharmacist | 1623 Mendon Rd, Cumberland, RI 02864 | 2013-04-12 |
| 1548503840 | Constantine Pagonis | Internal Medicine | 350 West Wrentham Road, Cumberland, RI 02864 | 2013-04-04 |
| 1124366778 | Tina Deroy | Physical Therapist | 100 Chambers Street, Cumberland, RI 02864 | 2013-01-16 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1245409978 | Kelly Ann Watier | Massage Therapist | 2180 Mendon Rd, Suite #32, Cumberland, RI 02864 | 2008-02-27 |
| 1003026725 | James Richard Ratcliffe | Dentist | 10 Chambers Street, Cumberland, RI 02864 | 2007-05-23 |
| 1184740706 | Paulo Jorge Da Rosa | Dentist | 20 Mill St., Suite #3, Cumberland, RI 02864 | 2007-03-22 |
| 1942325980 | Angeles V Felix | Dentist | 490 High St, Cumberland, RI 02864 | 2007-03-20 |
| Find all providers in zip 02864 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902018120 | Curtis Friedenberg | Dentist | 59 Greene St, Cumberland, MD 21502 | 2007-05-03 |
| 1598761884 | James J. Brennan | Dentist | 8 Crepeau Blvd, Cumberland, RI 02864-2107 | 2005-06-22 |
| 1538593223 | Benjamin Ming Fei Chan | Dentist | 2359 Mendon Rd, Cumberland, RI 02864-3707 | 2013-08-29 |
| 1417226069 | Mary Anne Jenkins Dds Ms LLC | Dentist | 921 Seton Dr, Suite 1a, Cumberland, MD 21502-1852 | 2011-12-27 |
| 1407095540 | Northeast Orthodontic Specialists | Dentist | 8 Crepeau Blvd, Cumberland, RI 02864-2107 | 2009-02-12 |
| 1730368390 | Matthew Aaron Almeida | Dentist | 8 Crepeau Blvd, Cumberland, RI 02864-2107 | 2007-10-31 |
| 1306916903 | Mary Anne Jenkins | Dentist | 921 Seton Dr, Ste 1a, Cumberland, MD 21502 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285966481 | Gordon Orthodontics, Inc. | Dentist | 1171 Main Street, Hope Valley, RI 02832 | 2010-02-12 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1689873952 | Michael Thomas Ferry | Dentist | 599 Pontiac Ave, Cranston, RI 02910-4709 | 2007-07-16 |
| 1417162165 | University Orthodontics | Dentist | 95 Sockanosset Cross Rd, Cranston, RI 02920-5559 | 2007-05-14 |
| 1396950762 | Orthodontic Partners Ltd | Dentist | 1109 Putnam Pike, Chepachet, RI 02814 | 2007-05-11 |
| 1073727095 | Scott Harsfield | Dentist | 1429 Warwick Ave, Warwick, RI 02888-5062 | 2007-05-09 |
| 1336261171 | Paul D Cashion | Dentist | 45 Patton Ave, Wakefield, RI 02879 | 2007-04-04 |
| 1790819985 | Cosmo Haralambidis | Dentist | 59 Phenix Avenue, Cranston, RI 02920-4222 | 2007-03-16 |
| 1396875753 | Robert P. Hayden | Dentist | 5 Crestview Dr, Westerly, RI 02891-2907 | 2007-03-06 |
| 1710028121 | Alan Craig Smith | Dentist | 500 Tollgate Road, Warwick, RI 02886 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 02864 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.