AKRADI DENTAL, LLC (NPI# 1720642143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720642143 |
| Entity Type | Organization |
| Organization Name | AKRADI DENTAL, LLC |
| Practice Address |
21 Bay State Rd # 3 Boston MA 02215-2101 |
| Mailing Address |
616 E 4th St Unit 102 South Boston MA 02127-3331 |
| Practice Telephone | 6172479966 |
| Mailing Telephone | 6512781902 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | DR. ROCHELLE AKRADI (MANAGER) |
| Authorized Official Telephone | 6512781902 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
21 BAY STATE RD # 3 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1407465743 | Beacon Dental Health PC | Clinic/Center | 21 Merchants Row Ste 2a, Boston, MA 02109-2040 | 2020-07-22 |
| 1124595111 | Bespoke Dental Boston | Clinic/Center | 11 Newbury St Fl 4, Boston, MA 02116-3138 | 2018-10-28 |
| 1851871081 | Boston Premier Dentistry, PC | Clinic/Center | 10 Tremont St Ste 402, Boston, MA 02108-2062 | 2018-08-16 |
| 1376032292 | Boston Park Dental Group | Clinic/Center | 128a Tremont St Fl 3, Boston, MA 02108-4716 | 2018-05-07 |
| 1447752563 | Kristen Choe Dority, Dmd, PC | Clinic/Center | 37 Newbury St Ste 3, Boston, MA 02116-3428 | 2018-03-05 |
| 1639682305 | Boston Dental Partners LLC | Clinic/Center | 330 Martin Luther King Blvd, Boston, MA 02119-1868 | 2017-11-15 |
| 1831619469 | Levy Family Dental LLC | Clinic/Center | 185 Devonshire St Ste 410, Boston, MA 02110-1413 | 2017-06-24 |
| 1811417603 | Trinity Dental Pllc | Clinic/Center | 1 Huntington Ave Unit B, Boston, MA 02116-5713 | 2017-06-22 |
| 1710347190 | Day Square Dental LLP | Clinic/Center | 371 Chelsea St, Boston, MA 02128-1480 | 2016-02-29 |
| 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.