Individual provider Active NPI

Allison Hemley Van Der Velden, DMD

  • General Practice Dentistry
  • Greenfield, MA
National Provider Identifier
1144660432
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856318 Issued in MA
Practice address
102 Main St
Greenfield, MA 01301-3275
Phone
(413) 325-8500
NPI assigned
Jul 1, 2013
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856318 MA Primary

Addresses

Primary practice location

102 Main St
Greenfield, MA 01301-3275

Mailing address

102 Main St
Greenfield, MA 01301-3275
Phone (413) 325-8500

Other practice location 1

58 Old North Rd
Worthington, MA 01098-9753
Phone (413) 238-5511

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161011000498 MA Order and Referring Only - DentistPractitioner - Dentist 5890083653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Franklin County Incorporated General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: avandervelden21206@direct.ctc.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Center of Franklin County IncorporatedGreenfield, MA, CCN 221844 Federally qualified health center Corporate Officer Aug 2, 2020
Community Health Center of Franklin County IncorporatedOrange, MA, CCN 221871 Federally qualified health center Corporate Officer Aug 1, 2020
Community Health Center of Franklin County IncorporatedTurners Falls, MA, CCN 221015 Federally qualified health center Corporate Officer Dec 2, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1144660432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013275",
            "telephone_number": "413-325-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013275",
            "telephone_number": "413-325-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Old North Rd",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MA",
            "postal_code": "010989753",
            "country_code": "US",
            "telephone_number": "413-238-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DER VELDEN",
        "first_name": "ALLISON",
        "middle_name": "HEMLEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.