DR. KEVIN ROSS RUBNICH (NPI# 1568670123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568670123 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ROSS RUBNICH |
| Credential | D.M.D. |
| Practice Address |
302 Washington St Gloucester MA 01930-4836 |
| Mailing Address |
606 Pond St South Weymouth MA 02190-1278 |
| Practice Telephone | 9782828899 |
| Mailing Telephone | 7818120838 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
18425 | MA | Dental Providers |
| Street Address |
302 WASHINGTON ST |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164966974 | Yenilda Garcia Filpo | Dentist | 302 Washington St, Gloucester, MA 01930-4836 | 2016-12-13 |
| 1225580400 | Margaret Juliann Biggins | Physician Assistant | 302 Washington St, Gloucester, MA 01930-4836 | 2016-11-03 |
| 1700127263 | Emily Ann Doucette | Nurse Practitioner | 302 Washington St, Gloucester, MA 01930 | 2013-03-08 |
| 1710233572 | North Shore Community Health, Inc | Clinic/Center | 302 Washington St, Gloucester, MA 01930-4836 | 2012-07-31 |
| 1306140280 | Ellen S Reece | Nurse Practitioner | 302 Washington St, Gloucester, MA 01930-4836 | 2011-01-06 |
| 1295049211 | Yan Sun | Dentist | 302 Washington St, Gloucester, MA 01930-4836 | 2010-08-02 |
| 1396975777 | Harbpinder Deep | Dentist | 302 Washington St, Gloucester, MA 01930-4836 | 2009-07-21 |
| 1184785479 | Maureen L Gebhardt | Counselor | 302 Washington St, Gloucester, MA 01930-4836 | 2006-12-12 |
| 1942383138 | Stephen Kulcsar | Family Medicine | 302 Washington St, Gloucester, MA 01930-4836 | 2006-10-23 |
| 1598793382 | Northeast Medical Practice | Specialist | 302 Washington St, Gloucester, MA 01930-4836 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| Find all providers in zip 01930 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1437700218 | Mansour Alasiri | Dentist | 650 Albany St Ste 341, Boston, MA 02118-2518 | 2019-09-24 |
| 1508417338 | Bushra Aljahdali | Dentist | 650 Albany St Fl 3, Boston, MA 02118-2518 | 2019-09-23 |
| 1164077152 | North Shore Smiles LLC | Dentist | 293 Humphrey Str., Swampscott, MA 01907 | 2019-08-06 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1043863533 | Ricardo Lazaro Pascual | Dentist | 1 Kneeland St Dept, Boston, MA 02111-1527 | 2019-07-23 |
| 1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
| 1396209961 | Gabriel Boustani Dmd PC | Dentist | 822 Boylston St Ste 200, Chestnut Hill, MA 02467-2504 | 2019-01-28 |
| 1568935153 | Periodontology Associates of Concord, Pllc | Dentist | 290 Baker Ave Ste 3, Concord, MA 01742-2189 | 2019-01-07 |
| 1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
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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.