Commonwealth Oral & Maxillofacial Surgical Associates Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10823 Issued in MA

Legal business name

COMMONWEALTH ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES INC.

Practice address

2353 Massachusetts Ave
Cambridge, MA 02140-1252

Phone

(617) 492-8700

Fax

(617) 492-0698

NPI assigned

Jul 26, 2006

Last updated

Nov 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward L Lechtenberg, DMDNPI 1639183841

Title

President

Phone

(617) 492-8700

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 5

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.

• Toby J Feldman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Cambridge, MA
  • NPI 1205850971
  Medicare reassignment NPD
• Edward L. Lechtenberg, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cambridge, MA
  • NPI 1639183841
  NPD (past) Authorized official
• Edward Vanisky, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Burlington, MA
  • NPI 1184609018

  Oral and Maxillofacial Surgery

  NPD
• Christopher G Pace, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Burlington, MA
  • NPI 1184678930

  Oral and Maxillofacial Surgery

  NPD (past)
• Helen H. Spencer-Snyder, LCSW

  • Clinical Social Worker
  • Secaucus, NJ
  • NPI 1538222559
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1457375107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401252",
            "telephone_number": "617-492-8700",
            "fax_number": "617-492-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401252",
            "telephone_number": "617-492-8700",
            "fax_number": "617-492-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "LECHTENBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-492-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "10823",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "15441",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "20462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E Colson, MD
• Kirsten E Colton, OTR/L
• Maureen M Colton, APRN
• Commonwealth Care
• Commonwealth of Masschusetts (Department of Mental Health - Cambridge Somerville Office)
• Community Charter School of Cambridge
• Gina Compere, BSN, RN
• Alison Compton, M.S. CCC-SLP
• Loring Conant, M.D.
• Iuri Conceicao, CLINICAL PSY

• Oral and Maxillofacial Surgery (Dentist) in Cambridge, MA
• Providers in Cambridge, 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 Nov 4, 2008; 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.