DR. CAITLIN MAUREEN KELLY (NPI# 1194178939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194178939 |
| Entity Type | Individual |
| Full Name | DR. CAITLIN MAUREEN KELLY |
| Credential | DMD |
| Practice Address |
131 Main St Waltham MA 02453-6636 |
| Mailing Address |
1 Nassau St Apt #313 Boston MA 02111-1542 |
| Practice Telephone | 7818935109 |
| Mailing Telephone | 3154505596 |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2016-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1857312 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453046 | Caitlin Kelly | Counselor | 484 W 43rd St Apt 23h, New York, NY 10036-6341 | 2019-08-22 |
| 1558860643 | Caitlin Patricia Brock Kelly | Counselor | 68 Mildorf St, Rochester, NY 14609-7230 | 2018-02-05 |
| 1114253309 | Caitlin Marie Kelly | Physician Assistant | 1755 Wittington Pl, Suite 800, Dallas, TX 75234-1927 | 2009-10-23 |
| 1053570770 | Caitlin Kelly | Social Worker | 14 Beech Hill Rd, Lloyd Harbor, NY 11743-1050 | 2008-06-06 |
| 1700409570 | Caitlin Harrison Kelly | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-27 |
| 1235765397 | Caitlin Nora Kelly | Dance Therapist | 1339 York Ave, New York, NY 10021-4707 | 2020-03-20 |
| 1346701000 | Caitlin Marie Kelly | Behavioral Analyst | 620 N Robinson Dr, Robinson, TX 76706-5312 | 2019-03-26 |
| 1487156329 | Caitlin Kelly | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2018-03-07 |
| 1629581970 | Caitlin Marie Kelly | Nurse Practitioner | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 | 2017-11-08 |
| 1184152977 | Caitlin T Kelly | Optometrist | 484 County Line Rd W Ste 120, Westerville, OH 43082-7110 | 2017-05-24 |
| Street Address |
131 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467082289 | Adela Agolli Tarshi, D.m.d., P.C. | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2020-01-21 |
| 1588040737 | Christopher John Salzillo | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2015-08-10 |
| 1740385459 | Golnaz Damghani | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2006-09-14 |
| 1437261567 | Damian D. Meola | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1184030066 | Weichun Li | Dentist | 85 River St # 65292, Waltham, MA 02453-8300 | 2014-07-11 |
| 1295013662 | Charles Sutera IIi | Dentist | 75 3rd Ave, Waltham, MA 02451-7549 | 2011-08-02 |
| 1356563035 | Mikhail Shulkin Dds PC | Dentist | 509 Moody Street, Waltham, MA 02453 | 2007-05-03 |
| 1104978220 | Edward Morton | Dentist | 633 Trapelo Rd, Waltham, MA 02452-7921 | 2007-01-17 |
| 1841347457 | Alan David Nesson | Dentist | 549 Lexington St, Waltham, MA 02452-3005 | 2007-01-04 |
| 1396805313 | Tam Tang and Sham PC | Dentist | 85 River Street, Waltham, MA 02453 | 2006-12-11 |
| 1023101300 | Tacuhi Sona Tacvorian | Dentist | 24 Crescent St, # 302, Waltham, MA 02453-4358 | 2006-10-01 |
| 1326052465 | John George Valentino | Dentist | 965 Trapelo Rd, Waltham, MA 02452-4842 | 2006-07-27 |
| 1881615680 | John Francis Giglio IIi | Dentist | 66 South St, Waltham, MA 02453 | 2006-07-21 |
| Find all providers in WALTHAM | ||||
Please comment or provide details below to improve the information on DR. CAITLIN MAUREEN KELLY.
| 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.