DR. MENACHEM D ROTH (NPI# 1093988073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093988073 |
| Entity Type | Individual |
| Full Name | DR. MENACHEM D ROTH |
| Credential | D.M.D.MMSC. |
| Practice Address |
348 N Pearl St Suite 3 Brockton MA 02301-1197 |
| Practice Telephone | 5085841166 |
| Mailing Telephone | 5085841166 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
21543 | MA | Dental Providers |
| Street Address |
348 N PEARL ST SUITE 3 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336203850 | Arch Orthodontics | Dentist | 348 N Pearl St, Suite 3, Brockton, MA 02301-1197 | 2006-12-20 |
| 1164931531 | Gregory Ryan | Physical Therapist | 348 N Pearl St, Brockton, MA 02301-1197 | 2017-09-28 |
| 1245771187 | Unlimited Behavioral Health Services of Massachusetts, LLC | Community/Behavioral Health | 348 N Pearl St, Suite 8, Brockton, MA 02301-1197 | 2017-03-11 |
| 1477092997 | Harris Dental Associates Hda PC | Dentist | 348 N Pearl St, Suite 1, Brockton, MA 02301-1197 | 2017-02-16 |
| 1457711467 | Barbara King | Counselor | 348 N Pearl St, Brockton, MA 02301-1197 | 2016-03-03 |
| 1164891107 | Philip Gauthier | Physical Therapist | 348 N Pearl St, Brockton, MA 02301-1197 | 2015-09-21 |
| 1457749699 | M & Co LLC | Dentist | 348 N Pearl St, Brockton, MA 02301-1197 | 2014-12-22 |
| 1306197298 | Emily Corey Eynatian | Physician Assistant | 348 N Pearl St, Suite 8, Brockton, MA 02301-1197 | 2012-10-02 |
| 1316179351 | Arch Orthodontics, PC | Dentist | 348 N Pearl St, Suite 3, Brockton, MA 02301-1197 | 2009-08-10 |
| 1881875870 | Healing Touch Massage Clinic | Clinic/Center | 348 N Pearl St, Brockton, MA 02301-1197 | 2007-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
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| 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 |
|---|---|---|---|---|
| 1679613418 | Joan Petros | Dentist | 336 Pleasant Street, Brockton, MA 02301-3236 | 2007-02-08 |
| 1336203850 | Arch Orthodontics | Dentist | 348 N Pearl St, Suite 3, Brockton, MA 02301-1197 | 2006-12-20 |
| 1780794347 | Siri C Steinle Dmd PC | Dentist | 1058 North Main St, Brockton, MA 02301 | 2006-08-30 |
| 1518910348 | Brian Gaudreault | Dentist | 841 Belmont St, Brockton, MA 02301-5545 | 2006-05-19 |
| 1316179351 | Arch Orthodontics, PC | Dentist | 348 N Pearl St, Suite 3, Brockton, MA 02301-1197 | 2009-08-10 |
| 1316118458 | Siri Steinle | Dentist | 1058 N Main St, Brockton, MA 02301-1534 | 2008-03-17 |
| 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.