NEW DENTAL28 PLLC (NPI# 1871034314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871034314 |
| Entity Type | Organization |
| Organization Name | NEW DENTAL28 PLLC |
| Other Organization Name | DENTAL28 |
| Practice Address |
1725 Massachusetts Ave Lexington MA 02420-5306 |
| Mailing Address |
8 Sheffield Cir Andover MA 01810-4317 |
| Practice Telephone | 7818635577 |
| Mailing Telephone | 6176510186 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | DR. XINGXUE HARRY HU (DIRECTOR) |
| Authorized Official Telephone | 6176510186 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | DN1857061 | MA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | GENERAL PRACTICE IN DENTISTRY | 1223G0001X | 01 |
| Other Name | Type Code |
|---|---|
| DENTAL28 | Doing Business As Name - Organization |
| Street Address |
1725 MASSACHUSETTS AVE |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02420-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366504417 | Arthur F. Sun | Dentist | 1725 Massachusetts Ave, Lexington, MA 02420-5306 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
| 1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
| 1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
| 1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
| 1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
| 1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
| Find all providers in zip 02420 | ||||
| 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 |
|---|---|---|---|---|
| 1497189930 | Natural Home Care, LLC | Preferred Provider Organization | 203 W Main St Ofc G-6, Lexington, SC 29072-2633 | 2013-09-01 |
| 1194783092 | Robert Moore Pickral & David A Ellington Ptrs | Preferred Provider Organization | 146 S Main St, Lexington, VA 24450-2356 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811435803 | Kimberly Miller | Preferred Provider Organization | 20 Will Palmer Rd, Southwick, MA 01077-9730 | 2017-02-09 |
| 1619351269 | Venusdentalpc | Preferred Provider Organization | 63 Great Rd Ste 105, Maynard, MA 01754-2097 | 2015-07-14 |
| 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 |
| 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.