Dvaworldrx, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DVAWORLDRX, LLC

Practice address

274 Kennebec St
Hyde Park, MA 02136-6206

Phone

(781) 241-2782

Fax

(857) 703-2625

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Jacquelyn Celes Manzanillo

Title

Manager

Phone

(781) 241-2782

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1053987032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 KENNEBEC ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021366206",
            "telephone_number": "781-241-2782",
            "fax_number": "857-703-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 KENNEBEC ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021366206",
            "telephone_number": "781-241-2782",
            "fax_number": "857-703-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVAWORLDRX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MANZANILLO",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "CELES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-241-2782"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacquie@dvaworld.com",
            "affiliation": "N",
            "endpointDescription": "Company email address",
            "address_1": "274 Kennebec St",
            "city": "Hyde Park",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021366206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr. Dorothy a. McCarthy,P.C.
• DRS. Bankhead and Groipen, D.D.S., P.C.
• Kimberly Cherie Duffin
• Rulxner John Alex Dumornay
• Molly Duncan
• John Eastman
• Brittany Ariana Edwards
• Joy Egbertson, PA
• Emily Clare Egersheim
• Mercy Ehikhamhen, LPN

• Prosthetic/Orthotic Supplier in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.