JACK J XU (NPI# 1104041615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104041615 |
| Entity Type | Individual |
| Full Name | JACK J XU |
| Practice Address |
19 N Quinsigamond Ave Shrewsbury MA 01545-2407 |
| Practice Telephone | 5084219355 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19562 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790239101 | Jack Xu | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Pl, Meb 486, Internal Medicine Residency, New Brunswick, NJ 08901-1928 | 2016-08-15 |
| Street Address |
19 N QUINSIGAMOND AVE |
| City | SHREWSBURY |
| State | MA |
| Zip Code | 01545-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457805764 | Zhe Xu | Dentist | 19 N Quinsigamond Ave, Shrewsbury, MA 01545-2407 | 2016-08-04 |
| 1043641384 | Quinsigamond Dental | Dentist | 19 N Quinsigamond Ave, Shrewsbury, MA 01545-2407 | 2013-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252716 | Kerri Mccarty | Pharmacist | 539-571 Boston Turnpike, Shrewsbury, MA 01545 | 2018-10-29 |
| 1710469127 | Emily Graves | Speech-Language Pathologist | 15 Fox Hill Road, Shrewsbury, MA 01545 | 2018-08-31 |
| 1558847780 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 720 Boston Tpke, Shrewsbury, MA 01545 | 2018-07-11 |
| 1023547718 | Anya Wolfe | Dentist | 193 Boston Tpke, Shrewsbury, MA 01545 | 2017-06-07 |
| 1992110506 | Careplus Transports LLC | Private Vehicle | 719 Grafton Street, Shrewsbury, MA 01545 | 2014-06-23 |
| 1699106328 | Marcienne Tallis Richardson | Registered Nurse | 415 Boston Turnpike, Shrewsbury, MA 01545 | 2013-12-05 |
| 1043555873 | Magdalena Barbara Farrell | Community Health Worker | 215 Lake St, Shrewsbury, MA 01545 | 2012-12-05 |
| 1639454507 | Amy Folta | Pharmacist | 225 Boston Trpk Road, Walgreens, Shrewsbury, MA 01545 | 2011-10-11 |
| 1205117710 | Shrewsbury Dental | Home Health | 16a Harrington Ave., Shrewsbury, MA 01545 | 2011-08-30 |
| 1639401334 | Shawn Fuller | Dentist | 193 Boston Tpke Ste 6140, Shrewsbury, MA 01545 | 2010-02-04 |
| Find all providers in zip 01545 | ||||
| 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 |
|---|---|---|---|---|
| 1932672862 | Jin Lee | Dentist | 9 Bayberry Cir, Shrewsbury, MA 01545-6101 | 2019-01-03 |
| 1023547718 | Anya Wolfe | Dentist | 193 Boston Tpke, Shrewsbury, MA 01545 | 2017-06-07 |
| 1619400181 | Brianne Donohue | Dentist | 60 Willow Ct, Shrewsbury, NJ 07702-4538 | 2017-04-11 |
| 1801236856 | Rizwan Raza Baig | Dentist | 401 Avalon Way, Shrewsbury, MA 01545-7802 | 2013-07-04 |
| 1801195789 | Charu K Aubin | Dentist | 6 Mangs Dr, Shrewsbury, MA 01545-4090 | 2011-03-18 |
| 1710208004 | Srinivas Reddy Mandala | Dentist | 611 Madison Pl, Shrewsbury, MA 01545-4295 | 2010-06-21 |
| 1639401334 | Shawn Fuller | Dentist | 193 Boston Tpke Ste 6140, Shrewsbury, MA 01545 | 2010-02-04 |
| 1134396310 | Todd A Pizzi Dds,llc | Dentist | 307 Grafton St, Suite 203, Shrewsbury, MA 01545-6236 | 2008-05-15 |
| 1538357991 | Pdg of Shrewsbury Pa | Dentist | 850 Broad St, Shrewsbury, NJ 07702-4214 | 2007-10-11 |
| 1265646764 | Marvin Jeffrey Sher | Dentist | 23 White Street, Shrewsbury, NJ 07702 | 2007-05-10 |
| Find all providers in SHREWSBURY | ||||
| City | SHREWSBURY |
| Zip Code | 01545 |
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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.