Citidental Brookline PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CITIDENTAL BROOKLINE PLLC

Practice address

637 Washington St Ste 210
Brookline, MA 02446-4579

Phone

(617) 566-4420

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Lina Badawi

Title

Manager

Phone

(617) 817-3312

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathalie Gal, DMD

  • Dentist
  • Brooklyn, NY
  • NPI 1659753598
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1255954178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 COURT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082109",
            "telephone_number": "617-943-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST STE 210",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464579",
            "telephone_number": "617-566-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIDENTAL BROOKLINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "BADAWI",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-817-3312"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Popo Isa Chui, D.M.D
• Shyue Ling Chyi, LMHC
• Mia Cianciarulo
• Carol R. Ciaravino, L..I.C.S.W.
• Stephen K Cina, LIC. AC.
• Citidental Center Brookline
• Johanna G Clair
• Myles Richard Clancy, D.M.D.
• Kimberly Clark Lucero, SLP
• Charles Whitman Clark, MSSS

• General Practice Dentistry in Brookline, MA
• Providers in Brookline, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.