MAUREEN MOORE (NPI# 1124438379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124438379 |
| Entity Type | Individual |
| Full Name | MAUREEN MOORE |
| Practice Address |
1135 Morton St Mattapan MA 02126-2834 |
| Mailing Address |
250 Mount Vernon St Dorchester MA 02125-3120 |
| Practice Telephone | 6175332300 |
| Practice Fax Number | 6175332341 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| Y | 124Q00000X | Dental Hygienist | DH4628 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568569 | Maureen Moore | Physical Medicine & Rehabilitation | 7310 Summertime Dr, Saint Louis, MO 63129-5740 | 2018-11-26 |
| 1073956918 | Maureen Daly Moore | Surgery | 1107 Robin Rd, Gladwyne, PA 19035-1007 | 2013-04-10 |
| 1316240609 | Maureen Margaret Moore | Massage Therapist | 1525 Greenview Ave, Portage, MI 49024-3322 | 2010-12-08 |
| 1174666846 | Maureen L Moore | Chiropractor | 675 Mclean Ave, Yonkers, NY 10704-3855 | 2007-02-14 |
| 1255606307 | Maureen Anne Moore | Behavioral Analyst | 17203 Ventura Blvd, Suite 3, Encino, CA 91316-4051 | 2012-03-21 |
| 1528263068 | Maureen Moore | Physical Therapist | 3451 S Chambers Rd, Aurora, CO 80014-5073 | 2007-06-15 |
| 1619953734 | Maureen C Moore | Registered Nurse | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2005-12-20 |
| Street Address |
1135 MORTON ST |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346296 | John Roberts | Nurse Practitioner | 1135 Morton St, Mattapan, MA 02126-2834 | 2005-12-14 |
| 1285299438 | Alexis Dove Mccrohan | Social Worker | 1135 Morton St, Mattapan, MA 02126-2834 | 2019-05-03 |
| 1760962914 | Sarah Visintainer | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2018-08-17 |
| 1891206322 | Kelsey Beth Sheehan | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2017-10-24 |
| 1548621048 | Corinne Sieben | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2016-03-10 |
| 1366810905 | Jazmin Turner | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2015-09-14 |
| 1225443831 | Amy Wujastyk Thein | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2014-06-23 |
| 1174958763 | Jennifer Ryan | Licensed Practical Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2013-09-13 |
| 1649605791 | Christiaan Van Damme | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2013-09-09 |
| 1013340165 | Robert Gilbert | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467817726 | Tiniya Fulks | Dental Hygienist | 1575 Blue Hill Ave, Mattapan, MA 02126-2122 | 2015-12-30 |
| 1124385661 | Danielle Collins | Dental Hygienist | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2012-04-23 |
| 1174702765 | Jeanine Rene | Dental Hygienist | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340620 | Sara Jambard | Dental Hygienist | 5 Halon Ter, East Longmeadow, MA 01028-3207 | 2020-06-10 |
| 1649810698 | Rinchen Youtso | Dental Hygienist | 4199 Washington St Ste 1, Roslindale, MA 02131-1733 | 2020-01-07 |
| 1124672779 | Polished Dntl LLC | Dental Hygienist | 76 Agnes Ln, Chatham, MA 02633-1502 | 2019-07-31 |
| 1801455720 | Neil David Moreau | Dental Hygienist | 230 Maple St Ste 4, Holyoke, MA 01040-5143 | 2019-06-13 |
| 1124592498 | Jamie Murphy | Dental Hygienist | 52 Lakecrest Path, Weymouth, MA 02189-1419 | 2019-01-18 |
| 1407332190 | Melissa Goulet | Dental Hygienist | 55 Federal St Ste 240, Greenfield, MA 01301-2573 | 2018-07-16 |
| 1407346349 | Kathryn Dolan | Dental Hygienist | 59 Wren St, Boston, MA 02132-2626 | 2018-05-16 |
| 1194221150 | Smiles Big and Small, Inc | Dental Hygienist | 28 Sandersdale Rd, Southbridge, MA 01550-2800 | 2018-03-30 |
| 1275044919 | Anna Ussi | Dental Hygienist | 15a Reed St, West Boylston, MA 01583-1139 | 2017-10-20 |
| 1346751799 | Judith Tanzella | Dental Hygienist | 7 Sohier Rd, Beverly, MA 01915-3415 | 2017-10-12 |
| Find all providers with the same taxonomy | ||||
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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.