KIKUKO HIRAYAMA DMD, LLC (NPI# 1952719163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952719163 |
| Entity Type | Organization |
| Organization Name | KIKUKO HIRAYAMA DMD, LLC |
| Practice Address |
745 Boylston St Ste 403 Boston MA 02116-2636 |
| Practice Telephone | 6178597107 |
| Mailing Telephone | 6178597107 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Authorized Official Name | DR. KIKUKO HIRAYAMA (OWNER) |
| Authorized Official Telephone | 6178597107 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
18401 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI TYPE 1 | 1407956444 | 01 |
| Street Address |
745 BOYLSTON ST STE 403 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841349495 | Brian Lee | Dentist | 745 Boylston St, Suite 403, Boston, MA 02116-2636 | 2007-01-10 |
| 1659789865 | Hiroshi Hirayama Dmd LLC | Dentist | 745 Boylston St, Boston, MA 02116-2636 | 2014-07-31 |
| 1326320037 | Jeanne C. Un | Dentist | 745 Boylston St, Suite 403, Boston, MA 02116-2636 | 2011-09-20 |
| 1114188448 | Terrence J Griffin | Dentist | 745 Boylston St, Suite 206, Boston, MA 02116-2636 | 2008-06-19 |
| 1114146396 | Kazis, Kurban & Associates | Dentist | 745 Boylston St, Suite 402, Boston, MA 02116-2636 | 2007-04-25 |
| 1790834463 | Hiroshi Hirayama | Dentist | 745 Boylston St, Suite 403, Boston, MA 02116-2636 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1215575311 | Martha Forero | Dentist | 1 Kneeland St Fl 15, Boston, MA 02111-1527 | 2019-12-19 |
| 1730660903 | Matthew Brian Harper | Dentist | 300 Longwood Ave Fl 4, Boston, MA 02115-5724 | 2018-08-27 |
| 1700387453 | Dorchester Pediatric Dentistry and Orthodontics, PC | Dentist | 1192 Blue Hill Ave Unit 1192, Boston, MA 02126-1819 | 2018-02-27 |
| 1710487079 | Huw F Thomas | Dentist | 1 Kneeland St Rm 749, Boston, MA 02111-1527 | 2018-02-13 |
| 1023539269 | Altan Kihm | Dentist | 1 Keeland St, Boston, MA 02111 | 2017-06-28 |
| 1902287915 | Nour Gowharji | Dentist | 1 Kneeland Street, Tufts School of Dental Medicine., 8th Floor, Room 842, Boston, MA 02111 | 2015-06-16 |
| 1063824464 | Maria Al Ismail | Dentist | 635 Albany St, Boston, MA 02118-2308 | 2014-05-20 |
| 1225449341 | Sara Ahmed | Dentist | 300 Longwood Ave Dental Department, Boston, MA 02115 | 2014-05-12 |
| 1952731549 | Boston University Henry M. Goldman School of Dental Medicine | Dentist | 100 E Newton St # G-200, Boston, MA 02118-2308 | 2013-11-18 |
| 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.