NPIMap

Organization Active NPI

Vallyn,Inc

  • Public Health Dentistry
  • Brewster, MA
National Provider Identifier
1093093007
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
10646 Issued in MA
Legal business name
VALLYN,INC
Practice address
103 Lake Shore Dr
Brewster, MA 02631-2429
Phone
(617) 571-1697
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Valerie M OsbornNPI 1285951996
Title
Treasurer
Phone
(617) 571-1697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 10646 MA Primary

Addresses

Primary practice location

103 Lake Shore Dr
Brewster, MA 02631-2429

Mailing address

103 Lake Shore Dr
Brewster, MA 02631-2429
Phone (617) 571-1697

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1093093007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LAKE SHORE DR",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312429",
            "telephone_number": "617-571-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LAKE SHORE DR",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312429",
            "telephone_number": "617-571-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLYN,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "617-571-1697"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "10646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.