TRUSTEES OF TUFTS COLLEGE (NPI# 1811490790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811490790 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF TUFTS COLLEGE |
| Other Organization Name | TUFTS PHDH PROGRAM |
| Practice Address |
200 Harrison Ave Fl 2 Boston MA 02111 |
| Mailing Address |
200 Harrison Ave Fl 2 Boston MA 02111-1836 |
| Practice Telephone | 6176364021 |
| Mailing Telephone | 6176364021 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | LISA GATELY (MANAGER) |
| Authorized Official Telephone | 6176366505 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRUSTEES OF TUFTS COLLEGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
DH0032PDO | MA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tufts PHDH Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609360510 | Trustees of Tufts College | Psychologist | 1 Kneeland St Fl 6, Boston, MA 02111-1527 | 2018-06-15 |
| 1770797698 | Trustees of Tufts College | Clinic/Center | Tdf Community Program, 200 Trapelo Rd, Waltham, MA 02452 | 2007-05-09 |
| 1790955318 | Trustees of Tufts College | 1 Kneeland St, 6th Floor, Boston, MA 02111-1527 | 2008-03-11 | |
| 1356559371 | Trustees of Tufts College | Clinic/Center | 1 Kneeland St, 15th Floor, Boston, MA 02111-1527 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TRUSTEES OF TUFTS COLLEGE | 169 Holland St Office of University Counsel, Somerville, MA 02144 |
| Oregon Corporations, Companies and Business Names | TRUSTEES OF TUFTS COLLEGE | 169 Holland St, SOMERVILLE MA |
| Colorado Business Entities | Trustees of Tufts College | 169 Holland St, Somerville, MA 02144 |
| Oklahoma Business Registrations | TRUSTEES OF TUFTS COLLEGE | 169 Holland St, Somerville, MA 02144 |
| System for Award Management (SAM) Entities | TRUSTEES OF TUFTS COLLEGE INC | 200 Westboro Rd, North Grafton, MA 01536-1828 |
| Street Address |
200 HARRISON AVE FL 2 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440322 | Elaine Conroy | Dental Hygienist | 200 Harrison Ave Fl 2, Boston, MA 02111-1836 | 2018-06-14 |
| 1245723154 | Maureen Favorito | Dental Hygienist | 200 Harrison Ave Fl 2, Boston, MA 02111-1836 | 2018-06-14 |
| 1063902906 | Theresa Conena Brennan | Dental Hygienist | 200 Harrison Ave Fl 2, Boston, MA 02111-1836 | 2018-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| 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 |
| 1720642143 | Akradi Dental, LLC | Clinic/Center | 21 Bay State Rd # 3, Boston, MA 02215-2101 | 2019-05-01 |
| 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 |
| 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.