Individual provider Active NPI

Van Orenstein, D.M.D.

  • Pediatric Dentistry
  • Winchester, MA
National Provider Identifier
1134432206
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1855399 Issued in MA
Practice address
955 Main St Ste 101
Winchester, MA 01890-4300
Phone
(781) 729-1900
NPI assigned
Jul 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN1855399 MA Primary

Addresses

Primary practice location

955 Main St Ste 101
Winchester, MA 01890-4300

Mailing address

39 Cross St
Suite 307
Peabody, MA 01960-1670
Phone (978) 717-5819

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

LicenseStateTypeSpecialty
DN1855399MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester and Reading Pediatric Dentistry LLC Pediatric Dentistry PastSince Sep 25, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vorenstein251596@direct.bostonchildrens.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1134432206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CROSS ST",
            "address_2": "SUITE 307",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601670",
            "telephone_number": "978-717-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 101",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904300",
            "telephone_number": "781-729-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENSTEIN",
        "first_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.