DR. TAIBA ALSARRAF (NPI# 1174988547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174988547 |
| Entity Type | Individual |
| Full Name | DR. TAIBA ALSARRAF |
| Practice Address |
100 E Newton St Boston MA 02118-2308 |
| Mailing Address |
780 Boylston St Apt 5g Boston MA 02199-7804 |
| Practice Telephone | 6176384700 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | BB1832268PTA1 | MA | Dental Providers |
| Street Address |
100 E NEWTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291489 | George Thomas Gallagher | Dentist | 100 E Newton St, G 04, Boston, MA 02118-2651 | 2005-11-03 |
| 1083261804 | Xiaofei Zhu | Dentist | 100 E Newton St, Boston, MA 02118-3552 | 2019-08-26 |
| 1861051948 | Lida Pishbin | Student in an Organized Health Care Education/Training Program | 100 E Newton St, Boston, MA 02118-2308 | 2019-06-11 |
| 1740743228 | Mary Namy | Student in an Organized Health Care Education/Training Program | 100 E Newton St, Boston, MA 02118-2308 | 2019-04-10 |
| 1568925162 | Chitipat Siriwittayacharoen | Dentist | 100 E Newton St, Boston, MA 02118-2308 | 2019-04-10 |
| 1316408495 | Safina-aliya Dhanji | Student in an Organized Health Care Education/Training Program | 100 E Newton St, Boston, MA 02118-2308 | 2019-03-29 |
| 1184184624 | Michael Hanna | Student in an Organized Health Care Education/Training Program | 100 E Newton St, Boston, MA 02118-2308 | 2019-03-21 |
| 1972071850 | Jocelyne Jezzini | Student in an Organized Health Care Education/Training Program | 100 E Newton St, Boston, MA 02118-2308 | 2018-11-08 |
| 1619443546 | Adisa Ratanasirintrawoot | Dentist | 100 E Newton St, Boston, MA 02118-2308 | 2018-10-18 |
| 1285109983 | Ramandeep Samra | Dentist | 100 E Newton St, Boston, MA 02118-2308 | 2018-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
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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.