MR. ROGER GERARD DEXTRADEUR (NPI# 1972621134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972621134 |
| Entity Type | Individual |
| Full Name | MR. ROGER GERARD DEXTRADEUR |
| Practice Address |
22 Front St Fall River MA 02721-4302 |
| Practice Telephone | 5086761307 |
| Practice Fax Number | 5086744493 |
| Mailing Telephone | 5086761307 |
| Mailing Fax Number | 5086744493 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
116 | MA | Behavioral Health & Social Service Providers |
| Street Address |
22 FRONT ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02721-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212423 | Christopher Nutting | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2020-03-30 |
| 1497302939 | Tracy Ann Mcgonagle | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2019-08-20 |
| 1497318661 | Paul F Hodosh | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2019-04-15 |
| 1447726567 | Paige Brown | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2018-10-16 |
| 1629544812 | Raymond Martin Gordon | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2018-10-16 |
| 1417436536 | Nicole Fortin | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2018-08-09 |
| 1730670480 | Samantha Nicole Corey | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2018-05-29 |
| 1821500935 | Alexandria Machado | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2017-10-30 |
| 1376054379 | Michael Paul Boudria | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2017-10-17 |
| 1376073247 | Patricia Ann Orrall | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1316561814 | Sravanthi Tapal | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fallriver, MA 02721 | 2020-06-01 |
| 1447808811 | Guilbert Maria | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fall River, MA 02721 | 2019-08-29 |
| 1619466638 | Alpha Dental Center, P.c | Dentist | 516 Newton St., Fall River, MA 02721 | 2018-05-04 |
| 1083987374 | Fall River Dental Center | Dentist | 516 Newton St, Fall River, MA 02721 | 2012-02-16 |
| 1033489109 | Phoenix Psychiatric Services | Clinic/Center | 101 Jeremiah Sullivan Dr, Fall River, MA 02721 | 2012-01-06 |
| 1619271491 | Amanda Leigh Sims | Student in an Organized Health Care Education/Training Program | 1575 North Main Street, Fall River, MA 02721 | 2011-01-07 |
| 1346481280 | Paul Ongulo | Counselor | 170 Pleasant Street, Fall River, MA 02721 | 2009-03-23 |
| 1508020439 | Dental Dreams LLC | Dentist | 45 Mariano South Bishop Blvd, Fall River, MA 02721 | 2008-07-10 |
| 1174793244 | Joan P Riley | Social Worker | 700 Shore Dr Unit 605, Fall River, MA 02721 | 2008-03-05 |
| Find all providers in zip 02721 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651676 | River To Recovery, Inc. | Counselor | 1507 Pleasant St, Fall River, MA 02723-1914 | 2019-10-25 |
| 1497278428 | Deborah Jane Correira | Counselor | 134 Durfee St, Fall River, MA 02720-2125 | 2017-07-21 |
| 1942657887 | Claude Edward Johnson | Counselor | 471 Lawton St, Fall River, MA 02721-3439 | 2016-05-20 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1588953855 | Nancy Ellen Jones | Counselor | 1700b President Ave., Fall River, MA 02720 | 2011-04-07 |
| 1861724999 | Elizabeth M. Granata | Counselor | 1016 Eastern Ave, Fall River, MA 02723-2842 | 2010-01-29 |
| 1144219551 | Family Service Association of Greater Fall River, Inc. | Counselor | 151 Rock St, Fall River, MA 02720-3201 | 2005-10-18 |
| 1871139022 | Kevin Doyle | Counselor | 1507 Pleasant St, Fall River, MA 02723-1914 | 2019-11-22 |
| 1306494208 | Samrang Mao | Counselor | 279 N Main St, Fall River, MA 02720-2320 | 2019-09-04 |
| 1497302939 | Tracy Ann Mcgonagle | Counselor | 22 Front St, Fall River, MA 02721-4302 | 2019-08-20 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02721 |
Please comment or provide details below to improve the information on MR. ROGER GERARD DEXTRADEUR.
| 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.