Class One Orthodontic Asso LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

14774 Issued in MA

Legal business name

CLASS ONE ORTHODONTIC ASSO LLC

Practice address

365 Burncoat St
Worcester, MA 01606

Phone

(508) 853-4003

Fax

(508) 854-8305

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Faeze Fadiani, DMD MS

Title

Owner

Phone

(508) 853-4003

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Faeze Fadiani DMD Former legal business name

Locations

Practitioners 2

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

• Faeze Fadiani Niaraki, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Worcester, MA
  • NPI 1659541928
  NPD (past)
• Nayson Niaraki, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Worcester, MA
  • NPI 1750551024
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407908213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BURNCOAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01606",
            "telephone_number": "508-853-4003",
            "fax_number": "508-854-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BURNCOAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01606",
            "telephone_number": "508-853-4003",
            "fax_number": "508-854-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASS ONE ORTHODONTIC ASSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FADIANI",
        "authorized_official_first_name": "FAEZE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-853-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "14774",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "20717",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260398",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faeze Fadiani DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nellda Clark IV, BSW
• Skylar Clark
• Lucy Clarke
• Pat Clarke
• Edith Claros, CNP
• Jenyza Class
• Soune Molvitah Claveus
• Manuel Clavijo, MDIV MA (CANDIDATE)
• Kim R Claxton, MSW
• Jonathan Clayfield

• Orthodontics and Dentofacial Orthopedics Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.