SAMUEL USTAYEV (NPI# 1811538705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811538705 |
| Entity Type | Individual |
| Full Name | SAMUEL USTAYEV |
| Practice Address |
1842 Beacon St Ste 301 Brookline MA 02445-1922 |
| Mailing Address |
167 Beacon St Apt 2 Boston MA 02116-1416 |
| Practice Telephone | 6172328113 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1858649 | MA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1259 Hyde Park Ave Ste 102, Hyde Park, MA 021362817 | 6173645500 | |
| 399 Belgrade Ave, West Roxbury, MA 021321548 | 6173250101 |
| Street Address |
1842 BEACON ST STE 301 |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| 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 |
|---|---|---|---|---|
| 1922667872 | Sandy Perez | Dentist | 1842 Beacon St Ste 304, Brookline, MA 02445-1900 | 2019-06-12 |
| 1528410321 | George Karl Koch IIi | Dentist | 35 White Pl Apt 3, Brookline, MA 02445-7987 | 2016-07-06 |
| 1760836936 | Leila El-youssef Suwwan | Dentist | 1330 Beacon St Ste 353, Brookline, MA 02446-3202 | 2016-04-14 |
| 1649654286 | Hyung Joon Kim | Dentist | 1626 Beacon St, Brookline, MA 02446-2201 | 2015-07-14 |
| 1720461189 | Sahara Dental Center | Dentist | 364 Harvard St # C1, Brookline, MA 02446-2920 | 2015-07-02 |
| 1699112151 | Stanislav Kovtun | Dentist | 185 Harvard St, Brookline, MA 02446-5013 | 2013-05-23 |
| 1356685275 | Peter Brzoza, LLC | Dentist | 1284 Beacon Street, Apt# 202, Brookline, MA 02446 | 2012-11-15 |
| 1902119274 | Robert Guen Dmd & Associates, LLC | Dentist | 1035a Beacon St, Brookline, MA 02446-5609 | 2010-07-15 |
| 1831427475 | Sabeen Tiwana | Dentist | 128 Beaconsfield Rd, Unit 1, Brookline, MA 02445-3323 | 2009-11-19 |
| 1811128218 | Lender Dmd PC | Dentist | 320 Washington Street 3rd Floor, Brookline, MA 02445-2201 | 2009-08-03 |
| Find all providers in BROOKLINE | ||||
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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.