SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC (NPI# 1952945685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952945685 |
Entity Type | Organization |
Organization Name | SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC |
Practice Address |
15 Warren St Randolph MA 02368-4015 |
Mailing Address |
87 Elm St Hopkinton MA 01748-1638 |
Practice Telephone | 7817677200 |
Mailing Telephone | 5086867220 |
Enumeration Date | 2019-11-06 |
Last Update Date | 2020-08-07 |
Authorized Official Name | DR. HOUSSAM ALKHOURY (OWNER) |
Authorized Official Telephone | 5085898270 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
N | 122300000X | Dentist | Dental Providers | ||
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
Street Address |
15 WARREN ST |
City | RANDOLPH |
State | MA |
Zip Code | 02368-4015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356698443 | Randolph Dental Group LLC | Dentist | 15 Warren St, Randolph, MA 02368-4015 | 2012-08-08 |
1972831428 | Comfort Dental Care | Clinic/Center | 15 Warren St, Randolph, MA 02368-4015 | 2009-11-20 |
1669593679 | Christina Riley | Dental Hygienist | 15 Warren St, Randolph, MA 02368-4015 | 2007-04-03 |
1730208109 | David To | Dentist | 15 Warren St, Randolph, MA 02368-4015 | 2007-03-28 |
1881713527 | Ana Sousa | Dental Hygienist | 15 Warren St, Randolph, MA 02368-4015 | 2007-03-27 |
1235257981 | Cynthia Mcgovern | Dentist | 15 Warren St, Randolph, MA 02368-4015 | 2007-03-27 |
1528187234 | Jessica Brodeur | Dental Hygienist | 15 Warren St, Randolph, MA 02368-4015 | 2007-03-27 |
1134262082 | Comfort Dental Care | Dentist | 15 Warren St, Randolph, MA 02368-4015 | 2007-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
Find all providers in zip 02368 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235360520 | Arch Orthodontics PC | Dentist | 4 Frank Leary Way, Randolph, MA 02368-4512 | 2009-08-04 |
1285836650 | Bernard Ivan Barrish | Dentist | 447 Route 10, Suite 9, Randolph, NJ 07869 | 2007-06-05 |
1598859563 | Susan Arnold | Dentist | 390 State Route 10, Randolph, NJ 07869-2141 | 2006-10-03 |
1740259902 | Yung Lin | Dentist | 41 Highland Ave, Randolph, MA 02368-4509 | 2006-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396352787 | New Bedford Dentistry and Braces PC | Dentist | 81 Coggeshall St Ste B, New Bedford, MA 02746-5448 | 2020-09-29 |
1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
1881200822 | East Milton Orthodontics, PC | Dentist | 25 Bryant Ave, Milton, MA 02186-5429 | 2020-09-16 |
1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
1003439449 | Emily Sachs | Dentist | 247 Hanover St, Hanover, MA 02339-2208 | 2020-05-20 |
1891331468 | University Dental of Webster Pllc | Dentist | 6 Slater St, Webster, MA 01570-2350 | 2019-11-19 |
1538700539 | Cecilia Mercedes Deller | Dentist | 28 Randolph St, Weymouth, MA 02190-1506 | 2019-10-01 |
1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
1942858063 | Epic Family Dentistry Pllc | Dentist | 315 Norwood Park S Ste 100, Norwood, MA 02062-4681 | 2019-09-02 |
1366090896 | Andrew Fraser | Dentist | 1121 Main St Ste 1, South Weymouth, MA 02190-1567 | 2019-08-28 |
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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.