TANNAZ SHAPURIAN (NPI# 1467535690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467535690 |
| Entity Type | Individual |
| Full Name | TANNAZ SHAPURIAN |
| Credential | DMD, MS |
| Practice Address |
77 Massachusetts Ave E23-515 Cambridge MA 02139-4301 |
| Practice Telephone | 6172531501 |
| Mailing Telephone | 6172531501 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
18175 | MA | Dental Providers |
| Street Address |
77 MASSACHUSETTS AVE E23-515 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659369007 | Kathy J. Davis | Specialist/Technologist | 77 Massachusetts Ave, W35-115, Cambridge, MA 02139-4301 | 2005-10-10 |
| 1518578061 | Massachusetts Institute of Technology | Ambulance | 77 Massachusetts Ave, Cambridge, MA 02139-4301 | 2020-08-10 |
| 1972128775 | Andrew Justin Motz | Emergency Medical Technician, Basic | 77 Massachusetts Ave, Cambridge, MA 02139-4307 | 2020-06-08 |
| 1881119238 | Abigael Joyce Yotts | Specialist/Technologist | 77 Massachusetts Ave, Cambridge, MA 02139-4301 | 2017-08-07 |
| 1336597251 | Amelia Leutz | Nurse Practitioner | 77 Massachusetts Ave, Building E23, Cambridge, MA 02139-4301 | 2016-06-01 |
| 1902238462 | James Joseph Castrello | Specialist/Technologist | 77 Massachusetts Ave, Cambridge, MA 02139-4301 | 2013-08-06 |
| 1689812372 | Jessica L Senesi | Nurse Practitioner | 77 Massachusetts Ave, Building E23, Cambridge, MA 02139-4301 | 2009-02-03 |
| 1528187259 | Mass Institute of Technology | Pharmacy | 77 Massachusetts Ave, Pharmacy E23-197, Cambridge, MA 02139-4301 | 2007-03-27 |
| 1457483158 | Jessica Rooney Gallagher | Specialist/Technologist | 77 Massachusetts Ave, Kasser Sports Medicine Center, Cambridge, MA 02139-4301 | 2007-03-09 |
| 1982739207 | Tanya Marie Barbosa | Specialist/Technologist | 77 Massachusetts Ave, Mit Box 397404, Cambridge, MA 02139-4301 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1063809101 | Corneliu Sima | Dentist | 245 First St Ste 17, Forsyth Faculty Associates, Cambridge, MA 02142-1292 | 2015-04-15 |
| 1295971992 | Donna M. Ponte Pereira, Dmd, LLC | Dentist | 826 Cambridge St, Cambridge, MA 02141-1402 | 2008-12-30 |
| 1699944058 | Michael Todd Cwiklinski | Dentist | 4 Van Norden St, Apt. 1, Cambridge, MA 02140-2518 | 2008-02-29 |
| 1770770422 | Frank G Oppenheim | Dentist | 1692 Mass Ave, Cambridge, MA 02138-1803 | 2007-09-26 |
| 1437217064 | Bruce D Shoicket | Dentist | 1753 Massachusetts Avenue, Suite 2, Cambridge, MA 02140-2218 | 2006-12-05 |
| 1700896164 | Cambridge Periodontics | Dentist | 1692 Massachusetts Avenue, Cambridge, MA 02138 | 2006-08-09 |
| 1588133946 | Massachusetts Institute of Technology | Dentist | 25 Carleton St, Cambridge, MA 02142-1323 | 2018-11-15 |
| 1497045397 | Flavia R. Teles | Dentist | 245 First St, Cambridge, MA 02142-1200 | 2011-04-12 |
| 1982901997 | Thomas Elliott Vandyke | Dentist | 245 First St, Suite 1756, Cambridge, MA 02142-1200 | 2011-02-28 |
| Find all providers in CAMBRIDGE | ||||
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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.