NIMA ANSARI DMD PLLC (DBA: OUR FAMILY DENTAL) (NPI# 1538623111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538623111 |
| Entity Type | Organization |
| Organization Name | NIMA ANSARI DMD PLLC (DBA: OUR FAMILY DENTAL) |
| Practice Address |
700 Southbridge St Ste 2 Worcester MA 01610-2941 |
| Mailing Address |
87 Gainsborough St Apt 408 Boston MA 02115-6537 |
| Practice Telephone | 7742439500 |
| Mailing Telephone | 9173641080 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | DR. NIMA ANSARI (DENTIST) |
| Authorized Official Telephone | 9173641080 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
700 SOUTHBRIDGE ST STE 2 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043652696 | Nima Ansari | Dentist | 700 Southbridge St Ste 2, Worcester, MA 01610-2941 | 2013-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700348489 | Deepti Kalra,dmd,pllc | Clinic/Center | 3 Triangle St, Worcester, MA 01606-3017 | 2019-04-02 |
| 1649730334 | 42 North Dental Care, LLC | Clinic/Center | 41 Park Ave Ste 3-4, Worcester, MA 01605-3947 | 2019-03-20 |
| 1508333915 | Simply Dental of Worcester South Pllc | Clinic/Center | 10 Winthrop St Ste 2, Worcester, MA 01604-4445 | 2018-10-24 |
| 1396275673 | Swan Dental LLC | Clinic/Center | 111 Elm St Ste 101, Worcester, MA 01609-1967 | 2017-06-19 |
| 1952573347 | Frederick L Bayon Dmd & Jeffrey D Maher Dmd PC | Clinic/Center | 445 Grove Street, Worcester, MA 01605 | 2008-03-26 |
| 1245439397 | Quinsigamond Community College | Clinic/Center | 670 W Boylston St, Worcester, MA 01606-2064 | 2007-07-17 |
| 1629610985 | Arena Family Dental LLC | Clinic/Center | 1049 Main St, Worcester, MA 01603-2485 | 2019-10-08 |
| 1992278238 | Simply Dental of Worcester East Pllc | Clinic/Center | 330 Plantation St, Worcester, MA 01604-1750 | 2019-01-09 |
| 1457821415 | Lee Family Dental Care Pllc | Clinic/Center | 111 Elm St Ste 101, Worcester, MA 01609-1967 | 2018-12-03 |
| 1396287983 | Feel Good Dental PC | Clinic/Center | 27-29 Mechanic St, Suite 200, Worcester, MA 01608-2414 | 2016-11-14 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on NIMA ANSARI DMD PLLC (DBA: OUR FAMILY DENTAL).
| 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.