BELMONT PERIODONTICS, P.C. (NPI# 1750328670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750328670 |
| Entity Type | Organization |
| Organization Name | BELMONT PERIODONTICS, P.C. |
| Practice Address |
18 Moore St Suite 300 Belmont MA 02478-2525 |
| Practice Telephone | 6174840475 |
| Mailing Telephone | 6174840475 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANA BINA (BUSINESS MANAGER) |
| Authorized Official Telephone | 6174840475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
15531 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DENTAL LICENSE | 15531 | 01 |
| Street Address |
18 MOORE ST SUITE 300 |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697098 | Michael Rocco Pellegrini | Dentist | 18 Moore St, Suite 100, Belmont, MA 02478-2525 | 2005-11-23 |
| 1659812899 | Belmont Periodontics and Dental Implants | Dentist | 18 Moore St, 300, Belmont, MA 02478-2525 | 2017-03-20 |
| 1053331116 | James Peter Toyias | Dentist | 18 Moore St, Belmont, MA 02478-2525 | 2006-07-20 |
| 1366476749 | Peter James Toyias | Dentist | 18 Moore St, Suite 200, Belmont, MA 02478-2525 | 2006-07-10 |
| 1043267792 | Robert M Eisendrath | Psychiatry & Neurology | 18 Moore St, Belmont, MA 02478-2525 | 2006-05-28 |
| 1679531107 | Patricia Litke Kauffman | Psychiatry & Neurology | 18 Moore St, Suite 301, Belmont, MA 02478-2525 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| 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 |
|---|---|---|---|---|
| 1457885766 | Quivet Partners LLC | Dentist | 363 Pleasant St, Belmont, MA 02478-3245 | 2017-04-13 |
| 1275652331 | Ronald B Orr | Dentist | 18 Moore Street, Suite 300, Belmont, MA 02478-2525 | 2007-03-28 |
| 1740390541 | Jacob Arash Pourati | Dentist | 57 Concord Ave, Belmont, MA 02478-4027 | 2006-08-30 |
| 1659812899 | Belmont Periodontics and Dental Implants | Dentist | 18 Moore St, 300, Belmont, MA 02478-2525 | 2017-03-20 |
| 1487093555 | Schrott Perio Implants, LLC | Dentist | 93 Concord Ave, Belmont, MA 02478-4044 | 2013-06-21 |
| 1700148319 | Alexander Rene Schrott | Dentist | 93 Concord Ave, Unit 6, Belmont, MA 02478-4044 | 2012-06-10 |
| 1598887812 | Shail K Kuba | Dentist | 93 Concord Ave, Suite #6, Belmont, MA 02478-4044 | 2007-04-06 |
| 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 | ||||
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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.