NPIMap

Organization Active NPI

Central Ma Orthodontic Associates PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Worcester, MA
National Provider Identifier
1003982786
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CENTRAL MA ORTHODONTIC ASSOCIATES PC
Practice address
100 MLK Jr. Boulevard
Suite 500
Worcester, MA 01608-1209
Phone
(508) 753-2489
Fax
(508) 795-3892
NPI assigned
Nov 27, 2006
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL MA ORTHODONTIC ASSOCIATES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Marie Giarrusso, DMDNPI 1821282591
Title
President Treasure Cmoa PC Orthodon
Phone
(508) 753-2489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

100 MLK Jr. Boulevard
Suite 500
Worcester, MA 01608-1209

Mailing address

100 MLK Jr Blvd
Suite 500
Worcester, MA 01608-1209
Phone (508) 753-2489

Other names 1

  • CMOA PC Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Ma Orthodontic Associates PC3 organizations share this tax ID, including this one
Part of
Central Ma Orthodontic Associates PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1003982786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MLK JR BLVD",
            "address_2": "SUITE 500",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-753-2489",
            "fax_number": "508-795-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MLK JR. BOULEVARD",
            "address_2": "SUITE 500",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-753-2489",
            "fax_number": "508-795-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MA ORTHODONTIC ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL MA ORTHODONTIC ASSOCIATES PC",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "GIARRUSSO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT TREASURE CMOA PC ORTHODON",
        "authorized_official_telephone_number": "508-753-2489",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMOA PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.