VIRTUDENT MA LLC (NPI# 1548655541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548655541 |
Entity Type | Organization |
Organization Name | VIRTUDENT MA LLC |
Practice Address |
21 Drydock Ave. 6th Floor C/o Masschallenge Boston MA 02210 |
Mailing Address |
21 Drydock Ave Ste 610 Boston MA 02210-2384 |
Practice Telephone | 6178634569 |
Mailing Telephone | 6178634569 |
Enumeration Date | 2015-04-06 |
Last Update Date | 2017-03-02 |
Authorized Official Name | DR. HITESH GULAB TOLANI (CEO) |
Authorized Official Telephone | 6178634569 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | Dental Providers | ||
N | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers | ||
N | 124Q00000X | Dental Hygienist | Dental Providers | ||
N | 125J00000X | Dental Therapist | Dental Providers | ||
N | 125K00000X | Advanced Practice Dental Therapist | Dental Providers | ||
N | 126800000X | Dental Assistant | Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Street Address |
21 DRYDOCK AVE. 6TH FLOOR C/O MASSCHALLENGE |
City | BOSTON |
State | MA |
Zip Code | 02210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104339308 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 72 Seaport Blvd, Boston, MA 02210 | 2017-11-09 |
1013310242 | Ella Osborn | Dentist | 268 Summer St, Boston, MA 02210 | 2014-10-02 |
1215231071 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 245 Summer St Ste 1100, Boston, MA 02210 | 2011-01-07 |
1225228323 | Lisa R Hirschhorn | Internal Medicine | Jsi Research & Training, 44 Farnsworth Street, Boston, MA 02210 | 2007-07-26 |
1003038365 | Ma Department of Youth Services | Public Health or Welfare | 27 Wormwood Street, Suite 400, Boston, MA 02210 | 2007-05-03 |
1043365786 | Carol I Williams | Surgery | Mcmcllc, 88 Black Falcon Pier, Boston, MA 02210 | 2007-01-24 |
1801955265 | Anjali Aggarwal | Anesthesiology | One Park Lane, Apartment #1005, Boston, MA 02210 | 2006-12-08 |
1609987312 | Morton Bruce Rosenberg | Dentist | 25 Channel Center Street, #802, Boston, MA 02210 | 2006-08-31 |
1063446714 | Robert C Parke | Family Medicine | Boston Meps Medical Section, 495 Summer Street, Boston, MA 02210 | 2006-07-10 |
1639101165 | Earl Robert Parson | Psychiatry & Neurology | Boston Meps, 495 Summer Street, Boston, MA 02210 | 2006-07-07 |
Find all providers in zip 02210 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
1225655152 | Qian Lin | Dentist | 151 Tremont St Apt 9s, Boston, MA 02111-1145 | 2020-06-26 |
1982225223 | Stephanie Mccarthy Brooks | Dentist | 63 Rutland St Apt 2, Boston, MA 02118-1586 | 2020-04-28 |
1922656008 | Amro Ehsan Moharem | Dentist | 888 Washington St Apt 204, Boston, MA 02111-1434 | 2019-08-31 |
1104486521 | Christine Chiao | Dentist | 691 Massachusetts Ave Unit 404, Boston, MA 02118-4079 | 2019-06-18 |
1912466988 | Kathleen Murphy | Dentist | 75 Chestnut St Apt 22, Boston, MA 02108-1137 | 2019-03-18 |
1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
1508347717 | Omar Alani | Dentist | 100 E Newton St Dept Of, Boston, MA 02118-2308 | 2018-08-25 |
1912490822 | Mikenah Joy Vega | Dentist | 231 Harrison Ave Apt 16, Boston, MA 02111-1857 | 2018-06-14 |
Find all providers in BOSTON |
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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.