TRUSTEES OF TUFTS UNIVERSITY (NPI# 1871719104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871719104 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF TUFTS UNIVERSITY |
| Other Organization Name | TUFTS DENTAL FACILITY FERNALD |
| Practice Address |
200 Trapelo Rd Waltham MA 02452-6332 |
| Mailing Address |
Tufts Dental Facility Fernald 200 Trapelo Road Waltham MA 02452 |
| Practice Telephone | 7818996020 |
| Practice Fax Number | 7818931829 |
| Mailing Telephone | 7818996020 |
| Mailing Fax Number | 7818931829 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN PATRICK MORGAN JR. (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 7818996020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
20040 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSHEALTH PROVIDER NUMBE | 0272175 | 01 |
| Other Name | Type Code |
|---|---|
| Tufts Dental Facility Fernald | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508169830 | Trustees of Tufts University | Clinic/Center | 212 Freight Shed Road, Baldwinville, MA 01436 | 2010-12-08 |
| 1740405356 | Trustees of Tufts University | Clinic/Center | 450 Maple St, Hathorne, MA 01937 | 2007-04-17 |
| 1508206012 | Trustees of Tufts University | Clinic/Center | 1275 Elm St, West Springfield, MA 01089-1820 | 2013-06-28 |
| 1144514027 | Trustees of Tufts University | Clinic/Center | 3 Randolph St, Bradford Building, 2nd Floor, Canton, MA 02021-2351 | 2011-06-08 |
| 1720381064 | Trustees of Tufts University | Clinic/Center | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2010-12-08 |
| 1467755702 | Trustees of Tufts University | Clinic/Center | 22 Hillside Ave, Groton, MA 01450 | 2010-12-08 |
| 1760608608 | Trustees of Tufts University | Clinic/Center | 175 State Ave, Palmer, MA 01069-1843 | 2007-04-18 |
| 1295959849 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-13 |
| 1104040757 | Trustees of Tufts University | Clinic/Center | 81 Hope Ave, Worcester, MA 01603-2212 | 2007-04-13 |
| 1679797211 | Trustees of Tufts University | Clinic/Center | 2007 Bay St, Taunton, MA 02780-1086 | 2007-04-13 |
| Street Address |
200 TRAPELO RD |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821136771 | Millicent Rothman | Nurse Practitioner | 200 Trapelo Rd, Liberty Healthcare, Fernald Center, Waltham, MA 02452-6332 | 2007-02-02 |
| 1982872651 | Priscilla I Nwachukwu | Nurse Practitioner | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2008-02-15 |
| 1295959849 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-13 |
| 1174654545 | The Commonwealth of Massachusetts Dds | Skilled Nursing Facility | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-03-08 |
| 1265572457 | Jane Frances Murphy | Nurse Practitioner | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437621224 | Aesthetic Smile Reconstruction PC | Clinic/Center | 75 3rd Ave Ste 1b, Waltham, MA 02451-7549 | 2018-12-18 |
| 1366722100 | My Dental LLC | Clinic/Center | 314 Moody St, Suite B, Waltham, MA 02453-5202 | 2011-08-24 |
| 1770797698 | Trustees of Tufts College | Clinic/Center | Tdf Community Program, 200 Trapelo Rd, Waltham, MA 02452 | 2007-05-09 |
| 1558631432 | Gentle Dental Waltham | Clinic/Center | 879 Main St, Waltham, MA 02451-7414 | 2012-01-09 |
| 1396053542 | Axis Orthodontics PC | Clinic/Center | 980 Main St, Waltham, MA 02451-7404 | 2010-09-22 |
| 1295959849 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265771 | Sidhu Family Dental LLC | Clinic/Center | 15 West St Ste 101, Douglas, MA 01516-2160 | 2020-11-04 |
| 1205436276 | The Nurture Frenectomy Center | Clinic/Center | 200 Elm St Ste 1, Pittsfield, MA 01201-6551 | 2020-10-29 |
| 1417557463 | Marva Khalid Dentistry PC | Clinic/Center | 105 Chestnut St Ste 25, Needham, MA 02492-2520 | 2020-10-29 |
| 1417555855 | Gardner Smiles Pllc | Clinic/Center | 356 Timpany Blvd, Gardner, MA 01440-5200 | 2020-10-16 |
| 1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
| 1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
| 1487267282 | Shoe City Family Dental PC | Clinic/Center | 103 Merrimack St, Haverhill, MA 01830-6208 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.