VENUSDENTALPC (NPI# 1619351269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619351269 |
| Entity Type | Organization |
| Organization Name | VENUSDENTALPC |
| Practice Address |
63 Great Rd Ste 105 Maynard MA 01754-2097 |
| Practice Telephone | 9782985281 |
| Mailing Telephone | 9782985281 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Authorized Official Name | AZADEH SHAHAB (DENTISTOWNER) |
| Authorized Official Telephone | 9782985281 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | DN1856317 | MA | Managed Care Organizations |
| Street Address |
63 GREAT RD STE 105 |
| City | MAYNARD |
| State | MA |
| Zip Code | 01754-2097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998765 | Sarah A. Measures | Counselor | 17 Sunset Rd., Maynard, MA 01754 | 2014-11-04 |
| 1164556205 | Town of Maynard Ambulance Service | Ambulance | 1 Summer St., Maynard, MA 01754 | 2007-03-14 |
| 1922028356 | Glenn D Jackson | Dentist | 9 Nason St, Maynard, MA 01754 | 2006-07-20 |
| 1013139955 | Ann Marie Edson | Nurse Practitioner | 2 Brian Way, Maynard, MA 01754-0000 | 2007-05-02 |
| 1730684622 | Patricia White | Occupational Therapist | 29 Durant Ave, Maynard, MA 01754-1034 | 2018-03-24 |
| 1811539893 | Kaitlynne Lee Vasquez | Counselor | 19 Nick Ln, Maynard, MA 01754-1041 | 2019-10-11 |
| 1750562757 | Debora Hobbs | Developmental Therapist | 18 Rickey Dr, Maynard, MA 01754-1052 | 2007-11-18 |
| 1992173934 | Rachel Ann Macgillivary | Counselor | 44 Brown St, Maynard, MA 01754-1231 | 2015-09-08 |
| 1821235607 | Anne Elizabeth Manning | Counselor | 9 Pleasant St, Maynard, MA 01754-1331 | 2009-01-15 |
| 1003391178 | Elizabeth A Rubio | Social Worker | 24 Lewis St, Maynard, MA 01754-1346 | 2018-09-25 |
| Find all providers in zip 01754 | ||||
| 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 |
| 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 |
| 1417399270 | Wahid Mistikawi Dba Greatwoods Family Dentistry | Preferred Provider Organization | 792south Main St, 24, Mansfield, MA 02048-3137 | 2013-07-22 |
| 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 | ||||
Please comment or provide details below to improve the information on VENUSDENTALPC.
| 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.