Children's Orthodontics of Worcester

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CHILDREN'S ORTHODONTICS OF WORCESTER

Practice address

338 Plantation Street
Worcester, MA 01604

Phone

(508) 756-6264

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Menachem D. Roth, DMD, MMSC

Title

Owner

Phone

(508) 756-6264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Daniel B Moheban, DMD

  • Pediatric Dentistry
  • Worcester, MA
  • NPI 1891718961
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1841639382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 PLANTATION STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01604",
            "telephone_number": "508-756-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 PLANTATION STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01604",
            "telephone_number": "508-756-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ORTHODONTICS OF WORCESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-756-6264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MMSC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicopee Medical Supply Company Inc
• Patricia Chieh
• Child Heart Associates, LLC
• Children's Friend, Inc.
• Children's Health Care Cooperative
• Megan Marie Childress I
• Abigail M Childs, M.D.
• Amy Childs, FNP-C
• Denis C. Childs, CRNA
• Raleigh Chilton, MSED

• 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 Jan 14, 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.