COLUMBIA DENTAL MANAGEMENT, INC. (NPI# 1366719395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366719395 |
| Entity Type | Organization |
| Organization Name | COLUMBIA DENTAL MANAGEMENT, INC. |
| Other Organization Name | COLUMBIA & BROADWAY, ORTHODONTICS, INC. |
| Practice Address |
653 Columbia Rd Dorchester MA 02125 |
| Practice Telephone | 6178259100 |
| Practice Fax Number | 6175061141 |
| Mailing Telephone | 6178259100 |
| Mailing Fax Number | 6175061141 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | MR. WILLIAM M ADAMS (PRESIDENT) |
| Authorized Official Telephone | 6178259100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12597 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9903954 | 05 |
| Other Name | Type Code |
|---|---|
| Columbia & Broadway, Orthodontics, Inc. | Former Legal Business Name - Organization |
| Street Address |
653 COLUMBIA RD |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538235452 | Greg Gilby | Chiropractor | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2006-11-24 |
| 1124594049 | Shilpa Reddy Admala | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2018-10-18 |
| 1942795265 | Yuliya Mulyar | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2018-06-28 |
| 1215430152 | My Dental Columbi A PC | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2018-03-16 |
| 1710393129 | Neena Joshi | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2014-07-07 |
| 1639599897 | Sam Ahn | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2014-04-25 |
| 1215285143 | Elmehdi Boujida | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2012-08-27 |
| 1306077615 | Kyung Won Seo | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2009-08-04 |
| 1689811085 | Columbia Family Dental | Health Maintenance Organization | 653 Columbia Rd, Fl.1, Dorchester, MA 02125-1712 | 2009-01-07 |
| 1598951519 | Anhphi Thi Nguyen | Dentist | 653 Columbia Rd, Fl. 1, Dorchester, MA 02125-1712 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| 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 |
|---|---|---|---|---|
| 1396352787 | New Bedford Dentistry and Braces PC | Dentist | 81 Coggeshall St Ste B, New Bedford, MA 02746-5448 | 2020-09-29 |
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1881200822 | East Milton Orthodontics, PC | Dentist | 25 Bryant Ave, Milton, MA 02186-5429 | 2020-09-16 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1003439449 | Emily Sachs | Dentist | 247 Hanover St, Hanover, MA 02339-2208 | 2020-05-20 |
| 1891331468 | University Dental of Webster Pllc | Dentist | 6 Slater St, Webster, MA 01570-2350 | 2019-11-19 |
| 1538700539 | Cecilia Mercedes Deller | Dentist | 28 Randolph St, Weymouth, MA 02190-1506 | 2019-10-01 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1942858063 | Epic Family Dentistry Pllc | Dentist | 315 Norwood Park S Ste 100, Norwood, MA 02062-4681 | 2019-09-02 |
| 1366090896 | Andrew Fraser | Dentist | 1121 Main St Ste 1, South Weymouth, MA 02190-1567 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
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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.