SHAINA IMMACULEE HENRIQUEZ (NPI# 1043748254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043748254 |
| Entity Type | Individual |
| Full Name | SHAINA IMMACULEE HENRIQUEZ |
| Practice Address |
862 Lexington St Waltham MA 02452-4849 |
| Mailing Address |
4608 Sw College Rd Ocala FL 34474-5720 |
| Practice Telephone | 7816849714 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1858588 | MA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4608 Sw College Rd, Ocala, FL 344745720 | 3527896990 |
| Street Address |
862 LEXINGTON ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528525482 | Waltham Modern Dentistry, PC | Dentist | 862 Lexington St, Waltham, MA 02452-4849 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306390778 | Yasmin Chebbi | Dentist | 32 South St Ste 100, Waltham, MA 02453-3555 | 2016-08-15 |
| 1699054676 | Poonam Soi | Dentist | 376 Moody St, Waltham, MA 02453-5204 | 2011-08-09 |
| 1821388398 | Dentonic | Dentist | 25 Middlesex Rd, #2, Waltham, MA 02452-6170 | 2011-04-18 |
| 1821306499 | Myungeun Kim | Dentist | 85 River St Ste 2, Waltham, MA 02453-8349 | 2010-09-17 |
| 1427369883 | Nidhi Agarwal | Dentist | 105 Black Bear Dr, Apt # 1701, Waltham, MA 02451-0253 | 2010-06-30 |
| 1992975106 | Robert James Lindberg | Dentist | 32 South Street, Suite 202, Waltham, MA 02453 | 2008-03-04 |
| 1487775375 | John D Meola, Jr | Dentist | 40 2nd Ave Ste 500, Waltham, MA 02451-1114 | 2007-04-02 |
| 1104955723 | Cronins Dental PC | Dentist | 225 Moody St, Waltham, MA 02453 | 2007-03-02 |
| 1801804174 | Michael Shulkin | Dentist | 509 Moody St, Waltham, MA 02453 | 2006-08-03 |
| 1205868098 | 42 North Dental Care, LLC | Dentist | 200 5th Ave, Waltham, MA 02451-8779 | 2006-07-06 |
| Find all providers in WALTHAM | ||||
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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.