CHICOPEE DENTISTRY AND BRACES, PC
NPI 1639654064
Dentist in Chicopee, MA

NPI Status: Active since October 02, 2018

Contact Information

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020
Phone: (413) 331-2124
Fax: (413) 650-5829

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  • Organization
  • Dentist
  • Accepts Insurance
  • CLIA Number: 22D0995799
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 01-30-2026

About CHICOPEE DENTISTRY AND BRACES, PC

This page provides the complete NPI Profile along with additional information for Chicopee Dentistry And Braces, Pc, a provider established in Chicopee, Massachusetts operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1639654064 assigned on October 2018. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Chicopee Dentistry And Braces, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Joanne Tavano (Cfo)

NPI
1639654064
Provider Name
CHICOPEE DENTISTRY AND BRACES, PC
Entity Type
Organization
Location Address
591 MEMORIAL DR CHICOPEE, MA 01020
Location Phone
(413) 331-2124
Location Fax
(413) 650-5829
Mailing Address
5 MOUNT ROYAL AVE STE 300 MARLBOROUGH, MA 01752
Mailing Phone
(508) 872-3072
Mailing Fax
(413) 650-5829
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2018
Last Update Date
09-30-2020
Code Navigator

A dentist like Chicopee Dentistry And Braces, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOANNE TAVANO

Authorized Official Title
CFO
Authorized Official Phone
(978) 580-1524

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0995799
Facility Type
Other
Certificate Effective Date
January 31, 2024
Certificate Expiration Date
January 30, 2026
Laboratory Director
SHERRY MANYAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chicopee Dentistry And Braces, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CHICOPEE DENTISTRY AND BRACES, PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639654064
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691258012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 5 + 8 + 0 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1639654064 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

DR. SHAWNA RAE ANDREWS DOCTOR OF OPTOMETRY

Optometrist

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020

(413) 593-6965

JACQUELINE A DESROSIERS R.PH.

Pharmacist

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020

(413) 593-6503

WAL-MART STORES EAST LP

Pharmacy

(Community/Retail Pharmacy)

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020

(413) 593-6503

ROBERT MCDONNELL MSPT, MDT

Physical Therapist

591 MEMORIAL DR
SUITE H
CHICOPEE, MA
ZIP 01020

(413) 331-1625

WAL-MART STORES EAST, LP

Technician/Technologist

(Optician)

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020

(413) 593-3192

FRANCIS K NGIGI PHARM.D.

Pharmacist

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020

(413) 593-6503

DR. EUNICE A ACQUAH PHARMD

Pharmacist

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020

(413) 593-6503

KALPESH CHANDRAKANT PATEL

Pharmacist

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020

(413) 593-6503

MISS JILL MARIE ROACH P.T.

Physical Therapist

591 MEMORIAL DR
CHICOPEE, MA
ZIP 01020

(413) 331-1625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639654064, enumerated as an "organization" on October 02, 2018.

The provider is located at 591 MEMORIAL DR CHICOPEE, MA 01020 and the phone number is (413) 331-2124.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and. Please consult your insurance carrier or call the provider to verify.