DR. MATTHEW R ANNESE (NPI# 1114289246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114289246 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW R ANNESE |
| Credential | D.M.D |
| Practice Address |
637 Washington St Dental Department Boston MA 02124-3510 |
| Mailing Address |
111 Willow Ave Apt 1 Somerville MA 02144-2527 |
| Practice Telephone | 6178224747 |
| Mailing Telephone | 9788043641 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2014-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1856006 | MA | Dental Providers |
| Street Address |
637 WASHINGTON ST DENTAL DEPARTMENT |
| City | BOSTON |
| State | MA |
| Zip Code | 02124-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941548 | Joseph Maglio | Physician Assistant | 637 Washington St, Boston, MA 02124-3510 | 2020-08-03 |
| 1427677947 | Weihao Wang | Student in an Organized Health Care Education/Training Program | 637 Washington St, Boston, MA 02124-3510 | 2020-04-14 |
| 1295362192 | Stephanie Melissa Otten Adcock | Student in an Organized Health Care Education/Training Program | 637 Washington St, Boston, MA 02124-3510 | 2020-03-23 |
| 1891320933 | Angie Ng | Social Worker | 637 Washington St, Boston, MA 02124-3510 | 2020-03-09 |
| 1104483338 | Burke Lieppman | Optometrist | 637 Washington St, Boston, MA 02124-3510 | 2019-05-22 |
| 1083177901 | Jahna Knobler | Nurse Practitioner | 637 Washington St, Boston, MA 02124-3510 | 2019-04-08 |
| 1093275273 | Ryan J Narciso | Family Medicine | 637 Washington St, Boston, MA 02124-3510 | 2019-03-22 |
| 1265975312 | Siddardha Chandrupatla | Dentist | 637 Washington St, Depatrtment of Dentistry, Boston, MA 02124-3510 | 2016-11-22 |
| 1831553080 | Khai-el Johnson | Family Medicine | 637 Washington St, Codman Square Health Center, Boston, MA 02124-3510 | 2016-04-13 |
| 1134527815 | Alexandra Koopman Smith | Registered Nurse | 637 Washington St, Boston, MA 02124-3510 | 2014-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| 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 |
|---|---|---|---|---|
| 1497353619 | Shikha Nanda | Dentist | 45 E Newton St Apt 107, Boston, MA 02118-4803 | 2020-10-09 |
| 1972100964 | Dafjola Bejleraj | Dentist | 10 High St Ste 333, Boston, MA 02110-1672 | 2020-10-03 |
| 1851998827 | Rami Salloum | Dentist | 60 Mount Pleasant Ave, Boston, MA 02119-3348 | 2020-10-02 |
| 1649885492 | Vanessa Lynn Mancuso Cortinas | Dentist | 490 Harrison Ave Apt 202, Boston, MA 02118-2573 | 2020-09-09 |
| 1407468465 | Treon Dental Partner | Dentist | 22 Traveler St, Boston, MA 02118-2645 | 2020-08-20 |
| 1134747603 | Ahmed Bashir Raddad | Dentist | 100 E Newton St # 707a, Boston, MA 02118-3552 | 2020-07-10 |
| 1770108656 | Nedg Boston | Dentist | 1 Milk St, Boston, MA 02109-5413 | 2020-06-16 |
| 1730702309 | Alla Anastos | Dentist | 4 Charlesgate E Apt 502, Boston, MA 02215-2324 | 2020-05-18 |
| 1942841788 | Mina Ihsan | Dentist | 701 Massachusetts Ave Apt 5, Boston, MA 02118-4053 | 2019-10-02 |
| 1831740166 | Saad Joulakh | Dentist | 42 Worcester Sq Apt 11, Boston, MA 02118-2920 | 2019-09-27 |
| Find all providers in BOSTON | ||||
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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.