JIEUN CHA (NPI# 1073061743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073061743 |
| Entity Type | Individual |
| Full Name | JIEUN CHA |
| Credential | DMD |
| Practice Address |
616 Fellsway Medford MA 02155-4959 |
| Practice Telephone | 7813069644 |
| Mailing Telephone | 7813069644 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1857438 | MA | Dental Providers |
| Street Address |
616 FELLSWAY |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477667079 | Wellington Circle Dental PC | Dentist | 616 Fellsway, Second Floor, Medford, MA 02155 | 2006-08-19 |
| 1124476478 | Paul K. Kang | Dentist | 616 Fellsway, Apt 14, Medford, MA 02155-4959 | 2016-05-26 |
| 1659598407 | Jungwoo Lee | Dentist | 616 Fellsway, 2nd Fl, Medford, MA 02155-4959 | 2007-04-20 |
| 1720180151 | Zaki M Mukdissi Dmd PC | Dentist | 616 Fellsway, Second Floor, Medford, MA 02155 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1154975076 | Patricia Rose Suing | Dentist | 1420 E Mcandrews Rd, Medford, OR 97504-6108 | 2019-07-29 |
| 1558920298 | Grace Jotika Dmd PC | Dentist | 0 Governors Ave Ste 1, Medford, MA 02155-3035 | 2019-06-06 |
| 1699266866 | Brent Hale | Dentist | 980 N Phoenix Rd Ste 101, Medford, OR 97504-9447 | 2018-05-23 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1679060677 | James Alexander | Dentist | 42 Pitcher Ave, Medford, MA 02155-2101 | 2018-04-16 |
| 1245731934 | Betty Vasiliki Alepedis-stoukides | Dentist | 12 Badger Rd, Medford, MA 02155-2937 | 2018-02-27 |
| 1073014700 | Asnis Dental, Pllc | Dentist | 1645 Route 112 Ste A, Medford, NY 11763-3662 | 2018-02-27 |
| 1336689835 | Gary A. Rosenfeld, Dds, PC | Dentist | 2801 Route 112, Suite A, Medford, NY 11763-2568 | 2017-03-02 |
| 1801269261 | James Kolby Robinson | Dentist | 1291 E. Mcandrews Rd., Medford, OR 80238-2506 | 2015-11-06 |
| Find all providers in MEDFORD | ||||
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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.