CLASS ONE ORTHODONTIC ASSO LLC (NPI# 1407908213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407908213 |
| Entity Type | Organization |
| Organization Name | CLASS ONE ORTHODONTIC ASSO LLC |
| Other Organization Name | FAEZE FADIANI DMD |
| Practice Address |
365 Burncoat St Worcester MA 01606 |
| Practice Telephone | 5088534003 |
| Practice Fax Number | 5088548305 |
| Mailing Telephone | 5088534003 |
| Mailing Fax Number | 5088548305 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FAEZE FADIANI (OWNER) |
| Authorized Official Telephone | 5088534003 |
| Authorized Official Credential | DMD MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
20717 | MA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
14774 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0260398 | 05 |
| Other Name | Type Code |
|---|---|
| Faeze Fadiani DMD | Former Legal Business Name - Organization |
| Street Address |
365 BURNCOAT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750551024 | Nayson Niaraki | Dentist | 365 Burncoat St, Worcester, MA 01606-3130 | 2008-03-03 |
| 1659541928 | Faeze Fadiani Niaraki | Dentist | 365 Burncoat St, Worcester, MA 01606-3130 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
| 1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
| 1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
| 1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
| 1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
| 1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
| 1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
| 1538273297 | Pamela Hibbard Bugbee | Occupational Therapist | 50 Gold Star Blvd., Worcester, MA 01606 | 2006-08-19 |
| Find all providers in zip 01606 | ||||
| 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 |
|---|---|---|---|---|
| 1841639382 | Children's Orthodontics of Worcester | Dentist | 338 Plantation Street, Worcester, MA 01604 | 2013-06-18 |
| 1578899829 | Jasun Mahaffey | Dentist | 388 Park Ave, Worcester, MA 01610-1025 | 2009-10-21 |
| 1376701094 | Frederick Joseph Giarrusso | Dentist | 27 Mechanics St, 203, Worcester, MA 01608-2408 | 2008-05-29 |
| 1013138379 | Dennis Joseph Dowd | Dentist | 1086 Pleasant St, Worcester, MA 01602-1266 | 2007-05-02 |
| 1003982786 | Central Ma Orthodontic Associates PC | Dentist | 100 Mlk Jr. Boulevard, Suite 500, Worcester, MA 01608-1209 | 2006-11-27 |
| 1801988068 | Seta M Apelian | Dentist | 330 Plantation Street, Worcester, MA 01604 | 2006-09-28 |
| 1558375014 | James J Esper | Dentist | 16 Park Avenue, Worcester, MA 01605 | 2006-07-28 |
| 1831752880 | Brennan Ree Bahnson | Dentist | 388 Park Ave, Worcester, MA 01610-1025 | 2019-04-16 |
| 1598114761 | Cale Forgues | Dentist | 10 Winthrop St, Worcester, MA 01604-4435 | 2016-06-08 |
| 1366708430 | Anas Al Najjar | Dentist | 101 Pleasant St, 210, Worcester, MA 01609-3213 | 2012-04-03 |
| 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.