FEDERICO FABIAN LAGO (NPI# 1033326087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033326087 |
| Entity Type | Individual |
| Full Name | FEDERICO FABIAN LAGO |
| Credential | D.M.D. |
| Practice Address |
1 Roosevelt Ave Peabody MA 01960-2200 |
| Mailing Address |
1005 Trapelo Rd Apt 4 Waltham MA 02452-4875 |
| Practice Telephone | 9785352500 |
| Mailing Telephone | 9176261105 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
20795 | MA | Dental Providers |
| Street Address |
1 ROOSEVELT AVE |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937279 | Richard D. Lafauci | Dentist | 1 Roosevelt Ave, Suite 203, Peabody, MA 01960-2200 | 2005-10-24 |
| 1437690138 | Massachusetts Dental Arts, P.C. | Dentist | 1 Roosevelt Ave, 203, Peabody, MA 01960-2200 | 2017-03-14 |
| 1902355506 | Hayley Ann Nichols | Nurse Practitioner | 1 Roosevelt Ave, Suite # 201, Peabody, MA 01960-2200 | 2016-09-25 |
| 1477960631 | Tess Megan Prescott | Physical Therapist | 1 Roosevelt Ave, Suite 205, Peabody, MA 01960-2200 | 2014-07-18 |
| 1932417110 | Peter Paul Brzoza | Dentist | 1 Roosevelt Ave, 203, Peabody, MA 01960-2904 | 2010-09-21 |
| 1760718423 | Matthew C. Tortora | Physical Therapist | 1 Roosevelt Ave, Suite 205, Peabody, MA 01960-2200 | 2009-10-29 |
| 1528392990 | Carolyn Natalie Mancini | Nurse Practitioner | 1 Roosevelt Ave, Suite 201, Peabody, MA 01960-2200 | 2009-10-01 |
| 1518135854 | Alan Roy Zicherman | Dentist | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2008-02-20 |
| 1043330913 | Stuart G Merle & Alan R Zicherman PC | Dentist | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2007-04-01 |
| 1689766339 | Orthopaedic Physical Therapy Specialists, Inc. | Clinic/Center | 1 Roosevelt Ave, Suite 205, Peabody, MA 01960-2200 | 2006-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013376003 | Juliana Ginsberg | Dentist | 1 Roosevelt Ave Ste 2d, Peabody, MA 01960-2227 | 2016-02-18 |
| 1841725512 | Flagship Smile, LLC | Dentist | 79 Lynnfield St, Peabody, MA 01960-5201 | 2017-05-01 |
| 1518135854 | Alan Roy Zicherman | Dentist | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784378 | Braintree Dentistry and Braces PC | Dentist | 292 Grove St, Braintree, MA 02184-7209 | 2020-03-11 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1215575311 | Martha Forero | Dentist | 1 Kneeland St Fl 15, Boston, MA 02111-1527 | 2019-12-19 |
| 1215574694 | Nistar Pediatric Dentistry Pllc | Dentist | 76 Merrimack St Ste 8a, Haverhill, MA 01830-6246 | 2019-12-05 |
| 1952968729 | Hampshire Meadow Family & Pediatric Dentistry | Dentist | 207 Russell St Apt 18, Hadley, MA 01035-5907 | 2019-05-28 |
| 1801352661 | Lavoie Pediatric Dentistry | Dentist | 2200 Gar Hwy Ste 2, Swansea, MA 02777-3935 | 2019-02-18 |
| 1790254845 | Somerville Pediatric Dentistry and Orthodontics | Dentist | 51 Cross St, Somerville, MA 02145-3244 | 2018-11-19 |
| 1730660903 | Matthew Brian Harper | Dentist | 300 Longwood Ave Fl 4, Boston, MA 02115-5724 | 2018-08-27 |
| 1891286316 | Azadeh Sajjadi | Dentist | 29 Angela Ln, Watertown, MA 02472-1734 | 2018-05-21 |
| 1841789468 | Tiffany Juliana Lewis | Dentist | 413 Broadway Ste B, Methuen, MA 01844-2062 | 2018-05-09 |
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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.