CROWNING MOMENT LLC


Address: 340 Wood Rd, Suite 288, Braintree, MA 02184-2401
Phone: 6179531824

CROWNING MOMENT LLC (NPI# 1881024545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881024545
Entity Type Organization
Organization Name CROWNING MOMENT LLC
Other Organization Name BLUE HILLS DENTAL ASSOCIATES
Practice Address 340 Wood Rd
Suite 288
Braintree
MA 02184-2401
Practice Telephone 6179531824
Mailing Telephone 6179531824
Enumeration Date 2013-11-16
Last Update Date 2013-11-16
Authorized Official Name DR. JACK SSU-CHIEH LEE (OWNER)
Authorized Official Telephone 6179531824
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization DN1855439 MA Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Blue Hills Dental Associates Doing Business As Name - Organization

Office Location

Street Address 340 WOOD RD
SUITE 288
City BRAINTREE
State MA
Zip Code 02184-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538140868 Kathryn Anne Foley Ferrari Physical Therapist 340 Wood Rd, Suite 303, Braintree, MA 02184-2401 2005-11-14
1578054730 Angela Tchao Optometrist 340 Wood Rd, Braintree, MA 02184 2018-05-23
1598219313 Sydney Galvin Physical Therapist 340 Wood Rd, Ste 303, Braintree, MA 02184-2401 2016-08-10
1184002180 Jack and Jill Pediatric Dentistry, LLC Dentist 340 Wood Rd, Suite 288, Braintree, MA 02184-2401 2015-05-11
1396150629 Blue Hills Sport & Spine Rehabilitation, LLC Physical Therapist 340 Wood Rd, Ste 303, Braintree, MA 02184-2401 2014-06-25
1750654018 Brad Thorne Counselor 340 Wood Rd, Braintree, MA 02184-2401 2012-02-17
1992935381 Allison P Daly Nurse Practitioner 340 Wood Rd, 305, Braintree, MA 02184-2401 2009-07-20
1780819300 New England Pain Associates, PC Anesthesiology 340 Wood Rd, Ste. 204, Braintree, MA 02184-2401 2009-05-27
1710145867 Deborah Levenson Physical Therapist 340 Wood Rd, Suite 102, Braintree, MA 02184-2401 2008-05-27
1417114695 Laura Cecchi Mccullough Pediatrics 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 2008-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396342234 Albert Jusu Counselor Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 2020-10-05
1356952378 Samantha Taylor O'malley Student in an Organized Health Care Education/Training Program 639 Granite Street, N/a, Brainetree, MA 02184 2020-08-13
1184104499 Andrea Boudreau Social Worker Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 2018-08-16
1144747221 Mina Schafft Dmd Pllc Dentist 321 Washington Street, Unit 101, Westwood, MA 02184 2017-08-29
1922520592 Samson Michel Counselor 400 Washington St. Suite 106, Braintree, MA 02184 2017-07-14
1760912653 Shannon R Harvey Behavioral Analyst 501 Commerce Dr 4207, Braintree, MA 02184 2017-06-14
1275074429 Colleen Dalton Behavioral Analyst 32 Powder Hill Dr, Braintree, MA 02184 2017-03-20
1295273266 Jessica Morris Occupational Therapist 16 Kensington Street, Braintree, MA 02184 2017-02-09
1568834562 Lisa Morrill Counselor 400 Washington St Ste 106, Braintree, MA 02184 2015-10-29
1831560382 Dr Dental of Braintree PC Dentist 284 Grove St, Braintree, MA 02184 2015-10-09
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811435803 Kimberly Miller Preferred Provider Organization 20 Will Palmer Rd, Southwick, MA 01077-9730 2017-02-09
1619351269 Venusdentalpc Preferred Provider Organization 63 Great Rd Ste 105, Maynard, MA 01754-2097 2015-07-14
1780068452 Keishla Rivera Preferred Provider Organization 135 Shawmut St, Chelsea, MA 02150 2015-07-13
1750770764 Balance Touch Homecare Agency Preferred Provider Organization 353 Whiting Ave, Dedham, MA 02026-3234 2015-01-14
1780089755 Happy Kjc, LLC Preferred Provider Organization 29 Harvard St Fl 3, Brookline, MA 02445-7952 2014-11-03
1316369622 Consolidated Health Plan Preferred Provider Organization 2077 Roosevelt Ave, Springfield, MA 01104-1657 2014-01-07
1992131528 Rockn Kids Dental Preferred Provider Organization 51 Galen St, Watertown, MA 02472-4503 2013-09-14
1417399270 Wahid Mistikawi Dba Greatwoods Family Dentistry Preferred Provider Organization 792south Main St, 24, Mansfield, MA 02048-3137 2013-07-22
1114211083 D. James Thomas Ministries Inc Preferred Provider Organization 121 Hazelton St, Mattapan, MA 02126-3135 2011-06-07
1376879197 Cheri Gaffney Preferred Provider Organization 7 Rolling Ridge Rd, Rutland, MA 01543-1782 2009-10-29
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Competitor

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City BRAINTREE
Zip Code 02184

Improve Information

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Dataset Information

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.

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