Tina Marie Valades, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15862 Issued in MA

Practice address

16 Sever St
Charlestown, MA 02129-1305

Phone

(617) 241-9220

Fax

(617) 241-4905

NPI assigned

Sep 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1023391174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SEVER ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291305",
            "telephone_number": "617-241-9220",
            "fax_number": "617-241-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SEVER ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291305",
            "telephone_number": "617-241-9220",
            "fax_number": "617-241-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADES",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Tinney, PSYD
• Catherine Tocci, PH.D.
• Betty Tran, RN
• Razvan Turcu, MD
• Joseph Vafis
• Marc Van de Rijn, M.D.
• Ryan Vanpatten, PHD
• Jason L Vassy, MD, MPH
• Emily Jo Venskytis, AUD
• Vibe Wellness, LLC

• General Practice Dentistry in Charlestown, MA
• Providers in Charlestown, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.