Active NPI
Ruchieka Vij, DMD
- Dentist
- Waltham, MA
National Provider Identifier
1104433549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858825
- Practice address
- 314 Moody St
Waltham, MA 02453-5202 - Phone
- (857) 284-2329
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858825 | MA | Primary |
Addresses
Primary practice location
314 Moody St
Waltham, MA 02453-5202
Mailing address
202 Katahdin Dr
Lexington, MA 02421-6437
Phone (857) 284-2329
Other practice location 1
151 Meridian St
East Boston, MA 02128-1675
Phone (857) 284-2329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858825 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ananmaya LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Georgetown, MA
- NPI 1407560469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1104433549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 KATAHDIN DR",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024216437",
"telephone_number": "857-284-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 MOODY ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535202",
"telephone_number": "857-284-2329"
}
],
"practiceLocations": [
{
"address_1": "151 Meridian St",
"address_purpose": "LOCATION",
"city": "East Boston",
"state": "MA",
"postal_code": "021281675",
"country_code": "US",
"telephone_number": "857-284-2329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIJ",
"first_name": "RUCHIEKA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.