DR. GREGG R FADER (NPI# 1194814434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194814434 |
| Entity Type | Individual |
| Full Name | DR. GREGG R FADER |
| Credential | DMD |
| Practice Address |
504 Grand Street #m3 New York NY 10002 |
| Mailing Address |
One Jordan Lane Ardsley NY 10502 |
| Practice Telephone | 2124750051 |
| Practice Fax Number | 2124753279 |
| Mailing Telephone | 9146934442 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| 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 |
040972 | NY | Dental Providers |
| Street Address |
504 GRAND STREET #M3 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776507 | Betances Health Center | Dietitian, Registered | 280 Henry Street, New York, NY 10002 | 2020-07-06 |
| 1558996041 | John X Wang Acupuncture PC | Acupuncturist | 27 East Broadway, 6fl, New York, NY 10002 | 2020-03-05 |
| 1962044776 | Min Lin | Student in an Organized Health Care Education/Training Program | 44-46 Market St Apt 6a, New York, NY 10002 | 2019-10-14 |
| 1184274540 | Brittany Irby | Community Health Worker | 189 Eldridge Street, New York, NY 10002 | 2019-09-18 |
| 1528558616 | Center for All Abilities, Inc. | Music Therapist | 136 Henry Street, New York, NY 10002 | 2018-05-14 |
| 1811490501 | Haishuang Huang | Health Educator | 87 Bowery, Fl 1, New York, NY 10002 | 2018-03-09 |
| 1174031546 | Vanessa Lisa Cruz | Specialist | 211 Eldridge Street, 3d, New York, NY 10002 | 2018-01-18 |
| 1295243889 | Robert Shum | Peer Specialist | 275 Cherry Street Apt.7a, New York, NY 10002 | 2018-01-17 |
| 1184147449 | Brooklyn Spine and Sports Medicine P.C. | Physical Medicine & Rehabilitation | 415 Grand New York Street, Apt E1707, New York, NY 10002 | 2017-07-19 |
| 1548780893 | Sana Khan | Student in an Organized Health Care Education/Training Program | 90 Rivington St, New York, NY 10002 | 2017-06-27 |
| Find all providers in zip 10002 | ||||
| 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 |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1356999510 | Jin Sup Shin | Dentist | 133 E 58th St Ste 912, New York, NY 10022-1283 | 2019-08-30 |
| 1265095764 | Candid Michigan Pllc | Dentist | 41 Union Sq W Fl 2, New York, NY 10003-3235 | 2019-04-19 |
| 1699237149 | Joseph T Hung | Dentist | 630 5th Ave Ste 1812, New York, NY 10111-1876 | 2019-04-03 |
| 1265999411 | Asma Almaidhan | Dentist | 345 E 24th St # 6w, New York, NY 10010-4020 | 2019-02-25 |
| 1598221228 | Snk Orthodontics, Pllc | Dentist | 555 6th Ave, New York, NY 10011-2065 | 2019-02-19 |
| 1487131009 | South End Dental PC | Dentist | 375 S End Ave Ste 1b, New York, NY 10280-1014 | 2018-07-26 |
| 1669965679 | Elizabeth Eve | Dentist | 506 Lenox Ave Bldg K, New York, NY 10037-1802 | 2018-06-13 |
| Find all providers in NEW YORK | ||||
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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.