SPRINGFIELD DENTISTRY AND BRACES, PC (NPI# 1629528674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629528674 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD DENTISTRY AND BRACES, PC |
| Practice Address |
405 Armory St Springfield MA 01104-2305 |
| Mailing Address |
5 Mount Royal Ave Ste 300 Marlborough MA 01752-1900 |
| Practice Telephone | 5084600632 |
| Mailing Telephone | 5084600632 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | MS. JOANNE TAVANO (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9785801524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | MA | Managed Care Organizations |
| Street Address |
405 ARMORY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891125480 | Western Massachusetts Primary Care PC | Clinic/Center | 405 Armory St, Springfield, MA 01104-2305 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| 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 |
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| 1194111252 | Commonwealthcare Alliance | Point of Service | 101 Wason Ave, Springfield, MA 01107-1140 | 2015-04-15 |
| 1417358219 | New England Family Dentistry,pc | Point of Service | 376 Cooley St, Springfield, MA 01128-1144 | 2014-09-11 |
| 1578817169 | Center for Human Developement | Point of Service | 622 State St, Springfield, MA 01109-4104 | 2012-11-03 |
| 1699733881 | Community Mercy Health Partners | Point of Service | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2006-05-04 |
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| 1396208690 | Marla P. Meyer, Licsw LLC | Point of Service | 39 Norman St Fl 3, Salem, MA 01970-3380 | 2019-04-12 |
| 1972037562 | Metrowest Dental Center | Point of Service | 433 Center St Ste 7, Ludlow, MA 01056-2857 | 2017-04-20 |
| 1063963353 | Fitchburgh Dentistry and Braces PC | Point of Service | 505 John Fitch Hwy, Fitchburg, MA 01420-8403 | 2016-10-21 |
| 1427506443 | Chrystal Jenkins | Point of Service | 26 Millett St, Unit #1, Gloucester, MA 01930-2846 | 2016-09-19 |
| 1083168132 | Mendon Family Dentistry | Point of Service | 14 Hastings St, Mendon, MA 01756-1079 | 2016-08-06 |
| 1770969024 | Beacon Aba Services | Point of Service | 5111 Avalon Dr, Weymouth, MA 02188-4614 | 2015-08-09 |
| 1679958573 | Any Lab Draw Now LLC | Point of Service | 64 Lambert Ave, Apt 1, Roxbury, MA 02119-1737 | 2015-07-21 |
| 1447637236 | Patrick Assioun Dmd PC | Point of Service | 150 Coolidge Rd, Berlin, MA 01503-1326 | 2015-04-30 |
| 1407257207 | New England Family Dentistry | Point of Service | 70 Westgate Drive, Brockton, MA 02301 | 2014-09-11 |
| 1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on SPRINGFIELD DENTISTRY AND BRACES, PC.
| 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.