Individual provider Active NPI

Nataliya Vrubel, D.M.D.

  • Dentist
  • Brockton, MA
National Provider Identifier
1447463872
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21621 Issued in MA
Practice address
839 Pleasant St Dental Center Gabriella Babu DMD
Brockton, MA 02301-3076
Phone
(508) 583-3530
Fax
(508) 580-8462
NPI assigned
May 8, 2007
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 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 DN21621 MA Primary

Addresses

Primary practice location

839 Pleasant St Dental Center Gabriella Babu DMD
Brockton, MA 02301-3076

Mailing address

13 Cronin Brook Way
Millbury, MA 01527-3954
Phone (617) 792-6711

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
I20160115001145 MA Order and Referring Only - DentistPractitioner - Dentist 7911200415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21621MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gabriella Babu General Practice PastSince Jan 1, 2021 Accepting new patients

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1447463872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CRONIN BROOK WAY",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273954",
            "telephone_number": "617-792-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 PLEASANT ST DENTAL CENTER GABRIELLA BABU DMD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013076",
            "telephone_number": "508-583-3530",
            "fax_number": "508-580-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRUBEL",
        "first_name": "NATALIYA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN21621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.