Alla Vaninov, RDH

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

102 2ND Ave
Needham, MA 02494-2809

Phone

(617) 304-9531

NPI assigned

Mar 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1275392177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BULLARD ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671007",
            "telephone_number": "617-543-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 2ND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942809",
            "telephone_number": "617-304-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Bullard St",
            "address_purpose": "LOCATION",
            "city": "Sharon",
            "state": "MA",
            "postal_code": "020671007",
            "country_code": "US",
            "telephone_number": "617-543-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANINOV",
        "first_name": "ALLA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leigh Patricia Van Dusen, MS, LDN
• Paul J. Vankevich, DMD
• Fatima Marlene Vazquez
• Joli Irene Vega
• Vanessa Vega
• Elsa Velazquez-McGuirk, MD

• Specialist in Needham, MA
• Providers in Needham, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.