Individual provider Active NPI

Alistair David Varidel, MS, MBBS, BDSC,

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
National Provider Identifier
1376251256
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DL15178 Issued in MA
Practice address
Boston Children'S Hospital
300 Longwood Avenue
Boston, MA 02115
Phone
(857) 218-8891
NPI assigned
Nov 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DL15178 MA Primary

Addresses

Primary practice location

Boston Children'S Hospital
300 Longwood Avenue
Boston, MA 02115

Mailing address

247 Kent St
Brookline, MA 02446-5400
Phone (857) 218-8891

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DL15178MAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1376251256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 KENT ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465400",
            "telephone_number": "857-218-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOSTON CHILDREN'S HOSPITAL",
            "address_2": "300 LONGWOOD AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "857-218-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARIDEL",
        "first_name": "ALISTAIR",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MS, MBBS, BDSC,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DL15178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.