WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY (NPI# 1417399270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417399270 |
| Entity Type | Organization |
| Organization Name | WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY |
| Practice Address |
792south Main St 24 Mansfield MA 02048-3137 |
| Mailing Address |
792 S Main St Mansfield MA 02048-3137 |
| Practice Telephone | 5083394171 |
| Practice Fax Number | 5083398311 |
| Mailing Telephone | 5083394171 |
| Mailing Fax Number | 5083398311 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | DR. WAHID MISTIKAWI (DENTIST) |
| Authorized Official Telephone | 5083394171 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | DN17639 | MA | Managed Care Organizations |
| Street Address |
792SOUTH MAIN ST 24 |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811435803 | Kimberly Miller | Preferred Provider Organization | 20 Will Palmer Rd, Southwick, MA 01077-9730 | 2017-02-09 |
| 1619351269 | Venusdentalpc | Preferred Provider Organization | 63 Great Rd Ste 105, Maynard, MA 01754-2097 | 2015-07-14 |
| 1780068452 | Keishla Rivera | Preferred Provider Organization | 135 Shawmut St, Chelsea, MA 02150 | 2015-07-13 |
| 1750770764 | Balance Touch Homecare Agency | Preferred Provider Organization | 353 Whiting Ave, Dedham, MA 02026-3234 | 2015-01-14 |
| 1780089755 | Happy Kjc, LLC | Preferred Provider Organization | 29 Harvard St Fl 3, Brookline, MA 02445-7952 | 2014-11-03 |
| 1316369622 | Consolidated Health Plan | Preferred Provider Organization | 2077 Roosevelt Ave, Springfield, MA 01104-1657 | 2014-01-07 |
| 1992131528 | Rockn Kids Dental | Preferred Provider Organization | 51 Galen St, Watertown, MA 02472-4503 | 2013-09-14 |
| 1114211083 | D. James Thomas Ministries Inc | Preferred Provider Organization | 121 Hazelton St, Mattapan, MA 02126-3135 | 2011-06-07 |
| 1376879197 | Cheri Gaffney | Preferred Provider Organization | 7 Rolling Ridge Rd, Rutland, MA 01543-1782 | 2009-10-29 |
| 1184883282 | Westfield Meadows Corporation | Preferred Provider Organization | 74 Old Holyoke Rd, Westfield, MA 01085-1487 | 2008-06-03 |
| Find all providers with the same taxonomy | ||||
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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.