DR. JOEL P. DOUGLAS (NPI# 1477693232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477693232 |
| Entity Type | Individual |
| Full Name | DR. JOEL P. DOUGLAS |
| Credential | D.M.D. |
| Practice Address |
19 Muzzey St Lexington MA 02421-5256 |
| Practice Telephone | 7818616120 |
| Practice Fax Number | 7818617856 |
| Mailing Telephone | 7818616120 |
| Mailing Fax Number | 7818617856 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9199 | MA | Dental Providers |
| Street Address |
19 MUZZEY ST |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325767 | Donna Arlene Zangara | Social Worker | 19 Muzzey St, #303, Lexington, MA 02421-5256 | 2005-09-12 |
| 1124490701 | Lexington Pediatrics, LLC | Pediatrics | 19 Muzzey St, Lexington, MA 02421-5256 | 2015-10-22 |
| 1558782409 | Coppe Pediatric Dental LLC | Dentist | 19 Muzzey St, Suite 6, Lexington, MA 02421-5256 | 2013-12-19 |
| 1154758084 | Coppe Pediatric Dentistry | Clinic/Center | 19 Muzzey St, Suite 6, Lexington, MA 02421-5256 | 2013-10-10 |
| 1215379375 | Eagle Endodontics, Inc | Dentist | 19 Muzzey St, 210, Lexington, MA 02421-5256 | 2013-07-17 |
| 1538441910 | Beverly Joy Montgomery | Speech-Language Pathologist | 19 Muzzey St, Suite 202, Lexington, MA 02421-5256 | 2011-09-12 |
| 1851680631 | Patricia Lorraine Duffy | Psychologist | 19 Muzzey St, Suite 301, Lexington, MA 02421-5256 | 2011-04-01 |
| 1255637195 | Michael R Coppe Dmd | Dentist | 19 Muzzey St, Suite 6, Lexington, MA 02421-5256 | 2011-02-09 |
| 1124235742 | Elizabeth Borghesani | Nurse Practitioner | 19 Muzzey St, Lexington, MA 02421-5256 | 2007-05-16 |
| 1285854596 | Murry A Awrach | Dentist | 19 Muzzey St, Suite 210, Lexington, MA 02421-5217 | 2007-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| 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 |
|---|---|---|---|---|
| 1073012514 | Carli Loss | Dentist | 800 Rose St Dental Science Building, Lexington, KY 40536-7001 | 2018-02-11 |
| 1548778038 | Julie J Rambo | Dentist | 620 Perimeter Dr Ste 207, Lexington, KY 40517-4125 | 2018-01-18 |
| 1306201454 | Patricia Domings | Dentist | 39 Valleyfield St, Lexington, MA 02421-7949 | 2015-12-16 |
| 1639541600 | Samuel Purnell | Dentist | 4574 Sunset Blvd, B, Lexington, SC 29072-9250 | 2015-10-29 |
| 1710371372 | Lauren Delpont Morris | Dentist | 860 Corporate Dr Ste 201, Lexington, KY 40503-5427 | 2015-03-22 |
| 1720482177 | Lloyd Boggess | Dentist | 617 Delzan Pl, Lexington, KY 40503-3503 | 2014-10-14 |
| 1730457821 | Lisa A. Kochis, Psc | Dentist | 4071 Tates Creek Centre Dr Ste 306, Lexington, KY 40517-3065 | 2011-12-05 |
| 1457628299 | Lucy Lee Wachs | Dentist | 698 Perimeter Dr Ste 200, Lexington, KY 40517-4141 | 2011-11-22 |
| 1033402896 | Daniel Ryan Pennella | Dentist | 502 N Lake Dr, Lexington, SC 29072-2806 | 2011-05-25 |
| 1487895439 | Cheryl W Aldridge | Dentist | 1156 Appian Crossing Way, #102, Lexington, KY 40517-1062 | 2009-03-19 |
| Find all providers in LEXINGTON | ||||
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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.