Commonwealth Oral & Maxillofacial Surgery of Arlington

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

COMMONWEALTH ORAL & MAXILLOFACIAL SURGERY OF ARLINGTON

Practice address

11 Water St Ste 3B
Arlington, MA 02476-4812

Phone

(781) 202-6292

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Toby J Feldman, DDSNPI 1205850971

Title

Owner

Phone

(781) 202-6292

Specialties & licenses 1

Addresses

Other names 1

• Arlington Oral Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Toby J Feldman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Cambridge, MA
  • NPI 1205850971
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1457047482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WATER ST STE 3B",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764812",
            "telephone_number": "781-202-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WATER ST STE 3B",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764812",
            "telephone_number": "781-202-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH ORAL & MAXILLOFACIAL SURGERY OF ARLINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-202-6292",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Gross Coletta, LICSW
• Column Health
• Column Health LLC
• Comfort Zone Counseling LLC
• Commonwealth of Massachusetts-DMH
• Commonwealth Oral & Maxillofacial Surgical Associates Inc
• Commonwealthmedicalsupplies
• Compass Recovery Counseling LLC
• Compassionate Growth Counseling
• Compassionate Growth Counseling

• Oral and Maxillofacial Surgery (Dentist) in Arlington, MA
• Providers in Arlington, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.