DPB CHARLES RIVER, LLC (NPI# 1043741143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043741143 |
| Entity Type | Organization |
| Organization Name | DPB CHARLES RIVER, LLC |
| Other Organization Name | DENTAL PARTNERS OF BOSTON AT CHARLES RIVER |
| Practice Address |
50 Staniford St 303 Boston MA 02114-2517 |
| Practice Telephone | 6175234555 |
| Mailing Telephone | 6175234555 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | DR. SERGIO A GUZMAN (MANAGING MEMBER) |
| Authorized Official Telephone | 6175234555 |
| Authorized Official Credential | DMD MSD |
| Is Organization Subpart | Y |
| Parent Organization Name | GUZMAN DENTAL PARTNERS OF BOSTON, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN20823 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dental Partners of Boston at Charles River | Doing Business As Name - Organization |
| Street Address |
50 STANIFORD ST 303 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295727584 | Peter A Rapoza | Ophthalmology | 50 Staniford St, Suite 600, Boston, MA 02114-2517 | 2005-08-22 |
| 1194376186 | Colleen Elizabeth Johnson | Dietitian, Registered | 50 Staniford St, Boston, MA 02114-2517 | 2019-09-23 |
| 1023673894 | Xiang Stella Chen | Student in an Organized Health Care Education/Training Program | 50 Staniford St, Boston, MA 02114-2517 | 2019-05-07 |
| 1043772791 | David Attar Hashemi | Student in an Organized Health Care Education/Training Program | 50 Staniford St, Boston, MA 02114-2517 | 2019-04-02 |
| 1699245308 | Linda Said | Dietitian, Registered | 50 Staniford St, Boston, MA 02114-2517 | 2018-11-26 |
| 1457895443 | Alexandra Stein | Dietitian, Registered | 50 Staniford St, #430, Boston, MA 02114-2517 | 2016-12-09 |
| 1821440264 | Brett Edward Stein | Dentist | 50 Staniford St, Floor 10, Boston, MA 02114-2517 | 2016-07-11 |
| 1902255094 | Annette Marie Jochum | Dietitian, Registered | 50 Staniford St, Fl 4, Boston, MA 02114-2517 | 2016-06-08 |
| 1073977880 | Abeer Bader | Dietitian, Registered | 50 Staniford St, 4th Floor, Boston, MA 02114-2517 | 2016-04-07 |
| 1528449519 | Aria Vazirnia | Dermatology | 50 Staniford St, Boston, MA 02114 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1407465743 | Beacon Dental Health PC | Clinic/Center | 21 Merchants Row Ste 2a, Boston, MA 02109-2040 | 2020-07-22 |
| 1720642143 | Akradi Dental, LLC | Clinic/Center | 21 Bay State Rd # 3, Boston, MA 02215-2101 | 2019-05-01 |
| 1124595111 | Bespoke Dental Boston | Clinic/Center | 11 Newbury St Fl 4, Boston, MA 02116-3138 | 2018-10-28 |
| 1851871081 | Boston Premier Dentistry, PC | Clinic/Center | 10 Tremont St Ste 402, Boston, MA 02108-2062 | 2018-08-16 |
| 1376032292 | Boston Park Dental Group | Clinic/Center | 128a Tremont St Fl 3, Boston, MA 02108-4716 | 2018-05-07 |
| 1447752563 | Kristen Choe Dority, Dmd, PC | Clinic/Center | 37 Newbury St Ste 3, Boston, MA 02116-3428 | 2018-03-05 |
| 1639682305 | Boston Dental Partners LLC | Clinic/Center | 330 Martin Luther King Blvd, Boston, MA 02119-1868 | 2017-11-15 |
| 1831619469 | Levy Family Dental LLC | Clinic/Center | 185 Devonshire St Ste 410, Boston, MA 02110-1413 | 2017-06-24 |
| 1811417603 | Trinity Dental Pllc | Clinic/Center | 1 Huntington Ave Unit B, Boston, MA 02116-5713 | 2017-06-22 |
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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.