DR. SRIJAN MEHTA (NPI# 1447444344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447444344 |
| Entity Type | Individual |
| Full Name | DR. SRIJAN MEHTA |
| Credential | D.M.D |
| Practice Address |
698 Crescent Street Brockton MA 02302 |
| Mailing Address |
401 Mount Vernon St Apt # 726 Dorchester MA 02125-3138 |
| Practice Telephone | 5085832256 |
| Mailing Telephone | 4052501967 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21988 | MA | Dental Providers |
| Street Address |
698 CRESCENT STREET |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391321 | Victor Yeh | Dentist | 698 Crescent Street, Brockton, MA 02302-2814 | 2014-06-12 |
| 1720273402 | Taketo Kaneyoshi | Dentist | 698 Crescent Street, Brockton, MA 02302 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811352537 | Elite Dental Group PC | Dentist | 76 South St, Brockton, MA 02301-6841 | 2015-12-22 |
| 1982076774 | Bill Vagenas, Dmd, LLC | Dentist | 5 Torrey St, Brockton, MA 02301-4832 | 2015-10-20 |
| 1598193971 | A-one Dental P.C. | Dentist | 772 Belmont St, Brockton, MA 02301-5603 | 2013-10-23 |
| 1558622753 | Jay Muruga Theva | Dentist | 200 Westgate Dr Ste 119, Brockton, MA 02301-1810 | 2012-06-04 |
| 1346367158 | Robert Freccero | Dentist | 79 Byron Ave, Brockton, MA 02301-4201 | 2007-03-25 |
| 1285767376 | Robert Jeffrey Tuck | Dentist | 567 Pleasant St, Brockton, MA 02301-2507 | 2007-03-14 |
| 1699810812 | Vasilios Vagenas | Dentist | 5 Torrey Street, Brockton, MA 02301 | 2007-02-21 |
| 1215074661 | Rajeev Trikha | Dentist | 698 Crescent St, Brockton, MA 02302-3360 | 2007-02-01 |
| 1568512655 | Full Service Dental Health P.C. | Dentist | 200 Westgate Dr Ste 2, Brockton, MA 02301-1810 | 2007-01-11 |
| 1053487561 | Drs Celli and Fields | Dentist | 185 Belmont Street, Brockton, MA 02301-5196 | 2006-11-27 |
| Find all providers in BROCKTON | ||||
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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.