NPIMap

Individual provider Active NPI

Marc Christopher Valli, D.M.D.

  • Dentist
  • Groton, MA
National Provider Identifier
1245676816
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1858712 Issued in MA
Practice address
292 Main St
Groton, MA 01450-1236
Phone
(978) 448-5241
NPI assigned
May 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1858712 MA Primary

Addresses

Primary practice location

292 Main St
Groton, MA 01450-1236

Mailing address

292 Main St
Groton, MA 01450-1236
Phone (978) 448-5241

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
DN1858712MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valli Dental Corporation CurrentSince Mar 7, 2021 Accepting new patients
Dibona Dental Group Past Accepting new patients

Locations

292 Main St
Groton, MA 01450
Phone (978) 448-5241

Organizations & group practices 2

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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1245676816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501236",
            "telephone_number": "978-448-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501236",
            "telephone_number": "978-448-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLI",
        "first_name": "MARC",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

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