DR. JOHN FICARELLI (NPI# 1407817141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407817141 |
| Entity Type | Individual |
| Full Name | DR. JOHN FICARELLI |
| Credential | D.M.D. |
| Practice Address |
1684 Beacon St Brookline MA 02445-2101 |
| Practice Telephone | 6172327100 |
| Practice Fax Number | 6172324191 |
| Mailing Telephone | 6172327100 |
| Mailing Fax Number | 6172324191 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12246 | MA | Dental Providers |
| Street Address |
1684 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679534028 | Annamarie Defeo | Dentist | 1684 Beacon St, Brookline, MA 02445-2101 | 2006-03-28 |
| 1033544168 | Audrey Laimins | Dentist | 1684 Beacon St, Brookline, MA 02445-2101 | 2013-09-09 |
| 1144369109 | Pediatric Dental Associates of Brookline, PC | Dentist | 1684 Beacon St, Brookline, MA 02445-2101 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| 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 |
|---|---|---|---|---|
| 1528417342 | Patrick Cooper | Dentist | 45 Carlton St Apt 2, Brookline, MA 02446-5621 | 2016-06-13 |
| 1154632545 | Breno Reboucas | Dentist | 1463 Beacon St, Apt 34, Brookline, MA 02446-4737 | 2010-06-30 |
| 1740373984 | Arnold I Weiss | Dentist | 1560 Beacon St, 3rd Floor, Brookline, MA 02446-2206 | 2006-10-02 |
| 1679534028 | Annamarie Defeo | Dentist | 1684 Beacon St, Brookline, MA 02445-2101 | 2006-03-28 |
| 1922456276 | Myles Richard Clancy | Dentist | 209 Harvard St, Brookline, MA 02446-5071 | 2016-05-27 |
| 1942546577 | The Center for Pediatric Dental Care, LLC | Dentist | 1560 Beacon St, Brookline, MA 02446-2206 | 2013-01-01 |
| 1417110669 | Youngsun Alice Kim | Dentist | 300 Longwood Ave, Hunnewell Building 4th Floor, Brookline, MA 02446 | 2008-07-08 |
| 1467651182 | Wesley Barton | Dentist | 1560 Beacon St, Brookline, MA 02446-2206 | 2007-07-12 |
| 1083839435 | Maria Luisa Georgaklis | Dentist | 1908 Beacon St, Brookline, MA 02445-1901 | 2007-04-13 |
| 1144369109 | Pediatric Dental Associates of Brookline, PC | Dentist | 1684 Beacon St, Brookline, MA 02445-2101 | 2007-02-06 |
| Find all providers in BROOKLINE | ||||
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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.