Concord and Lexington Oral Surgery Associates, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

19992 Issued in MA

Legal business name

CONCORD AND LEXINGTON ORAL SURGERY ASSOCIATES, LLC

Practice address

150 Baker Avenue Ext Ste 101
Concord, MA 01742-2199

Phone

(978) 369-2525

Fax

(978) 369-7425

NPI assigned

Jul 10, 2006

Last updated

Oct 28, 2024By 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. Gregory T. Caldwell, DMD, MDNPI 1992795926

Title

Partner

Phone

(781) 861-8855

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Cail, Caldwell Associates Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Cail Caldwell Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Concord & Lexington Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Concord, MA
  • NPI 1801960893
  NPD tax ID

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.

• Gregory T. Caldwell, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lexington, MA
  • NPI 1992795926
  Medicare reassignment Care Compare group Authorized official
• Claris W Chuah, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Concord, MA
  • NPI 1548296882
  Medicare reassignment Care Compare group NPD
• Kieran F. Dowd, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Concord, MA
  • NPI 1386633550
  Medicare reassignment Care Compare group
• John Patrick Morgan, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Concord, MA
  • NPI 1982693081
  Medicare reassignment Care Compare group
• Mimi B Dohan, LICSW

  • Clinical Social Worker
  • Lexington, MA
  • NPI 1255390316
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1801820824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BAKER AVENUE EXT STE 101",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422199",
            "telephone_number": "978-369-2525",
            "fax_number": "978-369-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BAKER AVENUE EXT STE 101",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422199",
            "telephone_number": "978-369-2525",
            "fax_number": "978-369-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD AND LEXINGTON ORAL SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "781-861-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "19992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X08668",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "019992",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "16643",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "19992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cail, Caldwell Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ellen Comeau, O.T.
• Compassionate Care Associates
• Sarah Compton, LCSW
• Concord & Lexington Oral Surgery Associates
• Concord ABA
• Concord Cardiology
• Concord Cardiology, PC
• Concord Center Acupuncture
• Concord Center Acupuncture and Herbal Medicine LLC
• Concord Center Dental LLC

• Specialist in Concord, MA
• Providers in Concord, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.