DR. MANOUCH DARVISH (NPI# 1265540090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265540090 |
| Entity Type | Individual |
| Full Name | DR. MANOUCH DARVISH |
| Credential | DMD |
| Practice Address |
200 Lincoln Street Worcester MA 01605 |
| Practice Telephone | 5087566264 |
| Practice Fax Number | 5087566490 |
| Mailing Telephone | 5087566264 |
| Mailing Fax Number | 5087566490 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10534 | MA | Dental Providers |
| Street Address |
200 LINCOLN STREET |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194045385 | Manouch Darvish Dmd PC | Health Maintenance Organization | 200 Lincoln Street, Worcester, MA 01605 | 2010-06-10 |
| 1114247301 | Daniel Moheban Dmd PC | Health Maintenance Organization | 200 Lincoln Street, Worcester, MA 01605 | 2010-06-10 |
| 1487712675 | Drs Darvish & Gallagher PC | Dentist | 200 Lincoln Street, Worcester, MA 01605 | 2006-12-04 |
| 1306922042 | F Edward Gallagher | Dentist | 200 Lincoln Street, Worcester, MA 01605 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437477395 | Kanchi Kapadia | Dentist | 10 Winthrop St Ste 317, Worcester, MA 01604-4438 | 2010-05-17 |
| 1871652354 | Michelle D Wilkerson | Dentist | 17 Young St, Worcester, MA 01603-1420 | 2006-12-08 |
| 1780694836 | Matthew W Panagiotu | Dentist | 144 Pleasant St, Worcester, MA 01609-3208 | 2006-08-09 |
| 1407263908 | Worcester Hills Dental PC | Dentist | 290 Park Ave, Worcester, MA 01609-1805 | 2014-07-16 |
| 1588928394 | Anna Ross | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2012-06-26 |
| 1326315862 | Vernon Hill Pediatric Dentistry | Dentist | 10 Winthrop St, #317/318, Worcester, MA 01604-4435 | 2011-11-29 |
| 1003043514 | Lahair & Gallagher Pediatric Dentistry, LLC | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2009-06-11 |
| 1215196704 | Patrick W Mcgary | Dentist | 102 Shore Dr, Suite 302, Worcester, MA 01605-3154 | 2008-06-09 |
| 1245402577 | Worcester Pediatric Dental Group LLC | Dentist | 144 Pleasant St, Worcester, MA 01609-3208 | 2008-03-27 |
| 1487712675 | Drs Darvish & Gallagher PC | Dentist | 200 Lincoln Street, Worcester, MA 01605 | 2006-12-04 |
| Find all providers in WORCESTER | ||||
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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.