Active NPI
Alla Shikhanovich, DMD
- Dentist
- Reading, MA
National Provider Identifier
1528217783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22249
- Practice address
- 315 Main St Ste 101315
Reading, MA 01867 - Phone
- (781) 944-4450
- Fax
- (781) 944-4451
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22249 | MA | Primary |
Addresses
Primary practice location
315 Main St Ste 101315
Reading, MA 01867
Mailing address
115 Charles St
Reading, MA 01867-1824
Phone (617) 331-1726
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22249 | MA | MD | Dentist |
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": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1528217783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CHARLES ST",
"city": "READING",
"state": "MA",
"postal_code": "018671824",
"telephone_number": "617-331-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MAIN ST STE 101315",
"city": "READING",
"state": "MA",
"postal_code": "01867",
"telephone_number": "781-944-4450",
"fax_number": "781-944-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIKHANOVICH",
"first_name": "ALLA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "22249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.