SEAPORT ORTHODONTICS, PC (NPI# 1285196642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285196642 |
| Entity Type | Organization |
| Organization Name | SEAPORT ORTHODONTICS, PC |
| Practice Address |
268 Summer St Boston MA 02210-1108 |
| Mailing Address |
25 Northern Ave Unit 1209 Boston MA 02210-1994 |
| Practice Telephone | 6177522220 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. ELLA OSBORN (OWNER/DOCTOR) |
| Authorized Official Telephone | 7812546804 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Seaport Smiles | Doing Business As Name - Organization |
| Street Address |
268 SUMMER ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02210-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013310242 | Ella Osborn | Dentist | 268 Summer St, Boston, MA 02210 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339308 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 72 Seaport Blvd, Boston, MA 02210 | 2017-11-09 |
| 1548655541 | Virtudent Ma LLC | Dentist | 21 Drydock Ave. 6th Floor, C/o Masschallenge, Boston, MA 02210 | 2015-04-06 |
| 1215231071 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 245 Summer St Ste 1100, Boston, MA 02210 | 2011-01-07 |
| 1225228323 | Lisa R Hirschhorn | Internal Medicine | Jsi Research & Training, 44 Farnsworth Street, Boston, MA 02210 | 2007-07-26 |
| 1003038365 | Ma Department of Youth Services | Public Health or Welfare | 27 Wormwood Street, Suite 400, Boston, MA 02210 | 2007-05-03 |
| 1043365786 | Carol I Williams | Surgery | Mcmcllc, 88 Black Falcon Pier, Boston, MA 02210 | 2007-01-24 |
| 1801955265 | Anjali Aggarwal | Anesthesiology | One Park Lane, Apartment #1005, Boston, MA 02210 | 2006-12-08 |
| 1609987312 | Morton Bruce Rosenberg | Dentist | 25 Channel Center Street, #802, Boston, MA 02210 | 2006-08-31 |
| 1063446714 | Robert C Parke | Family Medicine | Boston Meps Medical Section, 495 Summer Street, Boston, MA 02210 | 2006-07-10 |
| 1639101165 | Earl Robert Parson | Psychiatry & Neurology | Boston Meps, 495 Summer Street, Boston, MA 02210 | 2006-07-07 |
| Find all providers in zip 02210 | ||||
| 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 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 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 |
| 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.