DR. MARIELENA GAMBOA-RUIZ (NPI# 1194151118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194151118 |
| Entity Type | Individual |
| Full Name | DR. MARIELENA GAMBOA-RUIZ |
| Credential | DDS |
| Practice Address |
1 Kneeland St Fl 11 Boston MA 02111-1527 |
| Practice Telephone | 6176692709 |
| Mailing Telephone | 6176692709 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2017-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DL13177 | MA | Dental Providers |
| Street Address |
1 KNEELAND ST FL 11 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912524653 | Richard Edward Boyd Jr. | Student in an Organized Health Care Education/Training Program | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2020-06-29 |
| 1063038289 | Devon Marta Ptak | Student in an Organized Health Care Education/Training Program | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2020-06-23 |
| 1811512809 | Anika Solanki | Student in an Organized Health Care Education/Training Program | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2020-06-15 |
| 1043831829 | Mara Deborah Nobel | Student in an Organized Health Care Education/Training Program | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2020-05-03 |
| 1285271494 | Mariarachel Figueiredopenalvamon | Dentist | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2019-12-06 |
| 1346806510 | Jessica Langella | Dentist | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2019-05-14 |
| 1275028516 | Timothy Reichheld | Student in an Organized Health Care Education/Training Program | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2018-06-28 |
| 1326548694 | Tracy Maloney | Dentist | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2018-02-13 |
| 1861912602 | Stephanie Joy Phillis | Student in an Organized Health Care Education/Training Program | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2017-06-22 |
| 1871962522 | Samah Bukhari | Dentist | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2015-09-23 |
| Find all providers in the same location | ||||
| 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 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 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 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1407282999 | Ramipal S Khurana | Dentist | 100 E Newton St # G202, Boston, MA 02118-2308 | 2013-09-17 |
| 1336575828 | Hsiao-ying Candice Yang | Dentist | 100 E Newton St # G-202, Boston, MA 02118-2308 | 2013-09-17 |
| 1710239918 | Roshanak Baghai Naini | Dentist | 100 East Newton, Boston University School of Dental Medicine, Boston, MA 02118 | 2012-10-11 |
| 1992055776 | Ashraf Abd-elmeguid | Dentist | 100 East Newton St, Boston, MA 02118 | 2012-09-19 |
| 1679887434 | Michael Pauk | Dentist | 100 E Newton St # 705, Boston University Goldman School of Dental Medicine, Boston, MA 02118-2308 | 2010-08-03 |
| 1780890681 | Jyotika Tucker | Dentist | 1356 Boston Road, Boston, MA 01103 | 2007-05-15 |
| 1386798874 | Barry J Goldberg | Dentist | 800 Boylston St Ste 200, Boston, MA 02199-8176 | 2007-01-22 |
| 1427119403 | Louay Abrass | Dentist | 10 Post Office Sq Ste 1101, Boston, MA 02109-4603 | 2006-12-13 |
| 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.