FITCHBURGH DENTISTRY AND BRACES PC (NPI# 1063963353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063963353 |
| Entity Type | Organization |
| Organization Name | FITCHBURGH DENTISTRY AND BRACES PC |
| Practice Address |
505 John Fitch Hwy Fitchburg MA 01420-8403 |
| Mailing Address |
5 Mount Royal Ave Suite 300 Marlborough MA 01752-1981 |
| Practice Telephone | 5084600632 |
| Mailing Telephone | 5084600632 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | JOANNE TAVANO (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9785801524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
505 JOHN FITCH HWY |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-8403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1083168132 | Mendon Family Dentistry | Point of Service | 14 Hastings St, Mendon, MA 01756-1079 | 2016-08-06 |
| 1770969024 | Beacon Aba Services | Point of Service | 5111 Avalon Dr, Weymouth, MA 02188-4614 | 2015-08-09 |
| 1679958573 | Any Lab Draw Now LLC | Point of Service | 64 Lambert Ave, Apt 1, Roxbury, MA 02119-1737 | 2015-07-21 |
| 1447637236 | Patrick Assioun Dmd PC | Point of Service | 150 Coolidge Rd, Berlin, MA 01503-1326 | 2015-04-30 |
| 1407257207 | New England Family Dentistry | Point of Service | 70 Westgate Drive, Brockton, MA 02301 | 2014-09-11 |
| 1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
| 1184048076 | Partners Interpreting, LLC | Point of Service | 60 Man Mar Dr Unit 5, Plainville, MA 02762-2270 | 2014-02-12 |
| Find all providers with the same taxonomy | ||||
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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.