DR. MICHAEL SHULKIN (NPI# 1801804174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801804174 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHULKIN |
| Credential | DDS |
| Practice Address |
509 Moody St Waltham MA 02453 |
| Practice Telephone | 7818940889 |
| Practice Fax Number | 7818916857 |
| Mailing Telephone | 7818940889 |
| Mailing Fax Number | 7818916857 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 20431 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790893824 | Michael C Shulkin | Optometrist | 1188 Montgomery Dr, Santa Rosa, CA 95405-4802 | 2006-08-28 |
| Street Address |
509 MOODY ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043748254 | Shaina Immaculee Henriquez | Dentist | 862 Lexington St, Waltham, MA 02452-4849 | 2017-06-01 |
| 1306390778 | Yasmin Chebbi | Dentist | 32 South St Ste 100, Waltham, MA 02453-3555 | 2016-08-15 |
| 1699054676 | Poonam Soi | Dentist | 376 Moody St, Waltham, MA 02453-5204 | 2011-08-09 |
| 1821388398 | Dentonic | Dentist | 25 Middlesex Rd, #2, Waltham, MA 02452-6170 | 2011-04-18 |
| 1821306499 | Myungeun Kim | Dentist | 85 River St Ste 2, Waltham, MA 02453-8349 | 2010-09-17 |
| 1427369883 | Nidhi Agarwal | Dentist | 105 Black Bear Dr, Apt # 1701, Waltham, MA 02451-0253 | 2010-06-30 |
| 1992975106 | Robert James Lindberg | Dentist | 32 South Street, Suite 202, Waltham, MA 02453 | 2008-03-04 |
| 1487775375 | John D Meola, Jr | Dentist | 40 2nd Ave Ste 500, Waltham, MA 02451-1114 | 2007-04-02 |
| 1104955723 | Cronins Dental PC | Dentist | 225 Moody St, Waltham, MA 02453 | 2007-03-02 |
| 1205868098 | 42 North Dental Care, LLC | Dentist | 200 5th Ave, Waltham, MA 02451-8779 | 2006-07-06 |
| Find all providers in WALTHAM | ||||
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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.