Stateline DSD, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

STATELINE DSD, LLC

Practice address

115 Birnie Ave
West Springfield, MA 01089-4431

Phone

(413) 563-7515

NPI assigned

Apr 10, 2026

Last updated

Apr 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vladislav Bezrutchenko

Title

Owner

Phone

(413) 563-7515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1598608911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BIRNIE AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894431",
            "telephone_number": "413-563-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BIRNIE AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894431",
            "telephone_number": "413-563-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATELINE DSD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "BEZRUTCHENKO",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-563-7515"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Non-emergency Medical Transport (VAN) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.