Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891482220 Individual Practitioner Female Practitioner

Dr. Mikaela An Brock , DMD

Dentist - General Practice • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Mikaela Brock, DMD is a registered healthcare professional specializing in Dentist - General Practice in Boston, MA. Practice services are available at 150 S HUNTINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 S Huntington Ave

Boston, MA 021304817

Telephone 6172329500
Associated Practice Facility / Clinic
🏢 Boston Vamc Facility NPI 1497851802

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
402 Specialists

Practicing in Boston, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1859756

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Janet Richmond , MSW

Social Worker - Clinical

NPI 1003825480

Master of Social Work

Dr. Valia Boosalis , MD

Internal Medicine - Hematology & Oncology

NPI 1013006261

Doctor of Medicine (M.D.)

Peter Leyva , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023109980

Certified Registered Nurse Anesthetist

Rosemary Mcgovern-Lorusso , RD

Dietitian, Registered

NPI 1033123245

Registered Dietitian

Dr. Charles Meyers , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1033209861

Doctor of Medicine (M.D.)

John Bernstein

Clinical Neuropsychologist

NPI 1033883822

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
👤
Provider Name / Credentials Updated February 05, 2024

Recorded as MIKAELA BROCK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Dentist (License #DN1859756 in MA)

📍
Updated Practice Location June 14, 2023

Registered at 150 S HUNTINGTON AVE, BOSTON, MA 021304817 (Tel: 6172329500)

📍
Updated Business Mailing Address June 14, 2023

Registered at 15 VERNON ST APT 3, BROOKLINE, MA 024464952 (Tel: 2568048217)

NPI Profile Active April 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2023

Registered at 31 HIGH ST APT 1, BROOKLINE, MA 024457824 (Tel: 2568048217)

📍
Updated Business Mailing Address April 18, 2023

Registered at 31 HIGH ST APT 1, BROOKLINE, MA 024457824 (Tel: 2568048217)

👤
Provider Name / Credentials Updated April 18, 2023

Recorded as MIKAELA BROCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891482220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2023
Last Update: February 05, 2024
Sole Proprietor: No

Mailing Address

15 Vernon St Apt 3

Brookline, MA 024464952

Phone: 2568048217

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.