JADE ORTHODONTICS (NPI# 1184265258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184265258 |
| Entity Type | Organization |
| Organization Name | JADE ORTHODONTICS |
| Practice Address |
30 Kneeland St, Suite 301 Boston MA 02111 |
| Mailing Address |
Po Box 483 Belmont MA 02478-0004 |
| Practice Telephone | 6172726553 |
| Mailing Telephone | 6172726553 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | JING GUO (MEMBER) |
| Authorized Official Telephone | 6172726553 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
30 KNEELAND ST, SUITE 301 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| 1487212981 | Eliza Jane Gowell | Student in an Organized Health Care Education/Training Program | Tusdm, One Kneeland Street, Dhs 353, Boston, MA 02111 | 2019-05-31 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1194379180 | Chai Yoon Kim | Dentist | 50 Malden St Apt 106, Boston, MA 02118-2888 | 2019-07-28 |
| 1518520014 | Candid Care Services, Pllc | Dentist | 211 Newbury St, Boston, MA 02116-2570 | 2019-04-19 |
| 1104346584 | Stephen Reichheld Jr. | Dentist | 1 Nassau St Dept Of, Boston, MA 02111-1542 | 2017-06-26 |
| 1629513585 | Smilebar | Dentist | 303 Columbus Ave, Boston, MA 02116-5284 | 2017-01-03 |
| 1013310242 | Ella Osborn | Dentist | 268 Summer St, Boston, MA 02210 | 2014-10-02 |
| 1447694807 | Dotsmiles | Dentist | 126 Granite Ave, Boston, MA 02124-5801 | 2013-04-29 |
| 1265725501 | Tofool Alghanem | Dentist | 1 Kneeland Street 15 Floor, Orthodontic Department, Boston, MA 02111-1527 | 2011-05-19 |
| 1023328937 | Yuhe Lu | Dentist | 100 East Newton St. Rm 104, Boston, MA 02118 | 2010-10-13 |
| 1548579873 | Kelly Noel Labs | Dentist | 100 E Newton St Rm G-317, Boston, MA 02118-2308 | 2010-10-05 |
| 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.