PRESIDENT AND FELLOWS OF HARVARD COLLEGE (NPI# 1972761807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972761807 |
| Entity Type | Organization |
| Organization Name | PRESIDENT AND FELLOWS OF HARVARD COLLEGE |
| Other Organization Name | HARVARD DENTAL CENTER TP |
| Practice Address |
188 Longwood Ave Boston MA 02115-5819 |
| Practice Telephone | 6174321440 |
| Mailing Telephone | 6174321440 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | DR. JOHN DA SILVA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6174321440 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESIDENT AND FELLOWS OF HARVARD COLLEGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16484 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0200140 | 05 |
| Other Name | Type Code |
|---|---|
| Harvard Dental Center TP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073947396 | President and Fellows of Harvard College | Clinic/Center | 75 Mount Auburn St, Cambridge, MA 02138-4960 | 2013-08-22 |
| 1093069858 | President and Fellows of Harvard College | Clinic/Center | 188 Longwood Ave, Boston, MA 02115-5819 | 2012-11-01 |
| 1881852713 | President and Fellows of Harvard College | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2008-05-28 |
| 1164512570 | President and Fellows of Harvard College | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2006-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESIDENT AND FELLOWS OF HARVARD COLLEGE | 1033 Massachusetts Ave 5th Fl, Cambridge, MA 02138-5369 |
| Massachusetts Corporations | PRESIDENT AND FELLOWS OF HARVARD COLLEGE | Harvard University, Massachusetts Hall, Cambridge, MA 02138 |
| New York State Corporations | PRESIDENT AND FELLOWS OF HARVARD COLLEGE | 80 State Street, Albany, Ny 122072543 |
| Street Address |
188 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664849 | Thomas R Flynn | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2005-10-27 |
| 1346857869 | Saad Almujel | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-09-29 |
| 1548878176 | Ionut Sebastian Viski | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-20 |
| 1962010504 | Ankita Arunkumar Nigam | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-20 |
| 1013525708 | Min Jeong | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-19 |
| 1235747395 | Yujun Wang | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-15 |
| 1346868692 | Asmaa Faisal Bukhari | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-13 |
| 1003433160 | Nicha Tokavanich | Student in an Organized Health Care Education/Training Program | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-06 |
| 1134746464 | Justin Lewis Tomack | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-02 |
| 1144847526 | Morgan Celistan | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
| 1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
| 1225655152 | Qian Lin | Dentist | 151 Tremont St Apt 9s, Boston, MA 02111-1145 | 2020-06-26 |
| 1982225223 | Stephanie Mccarthy Brooks | Dentist | 63 Rutland St Apt 2, Boston, MA 02118-1586 | 2020-04-28 |
| 1922656008 | Amro Ehsan Moharem | Dentist | 888 Washington St Apt 204, Boston, MA 02111-1434 | 2019-08-31 |
| 1104486521 | Christine Chiao | Dentist | 691 Massachusetts Ave Unit 404, Boston, MA 02118-4079 | 2019-06-18 |
| 1912466988 | Kathleen Murphy | Dentist | 75 Chestnut St Apt 22, Boston, MA 02108-1137 | 2019-03-18 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1508347717 | Omar Alani | Dentist | 100 E Newton St Dept Of, Boston, MA 02118-2308 | 2018-08-25 |
| 1912490822 | Mikenah Joy Vega | Dentist | 231 Harrison Ave Apt 16, Boston, MA 02111-1857 | 2018-06-14 |
| Find all providers in BOSTON | ||||
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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.