Active NPI
Lisiane Paranhos Valverde, DDS
- Public Health Dentistry
- Boston, MA
National Provider Identifier
1619725306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DL10202
- Practice address
- 1575 Blue Hill Ave
Boston, MA 02126-2122 - Phone
- (617) 898-9048
- NPI assigned
- May 8, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DL10202 | MA | Primary |
Addresses
Primary practice location
1575 Blue Hill Ave
Boston, MA 02126-2122
Mailing address
1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 898-9048
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 |
|---|---|---|---|
| DL10202 | MA | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mattapan Community Health Center Inc | Past | 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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Mattapan, MA
- NPI 1639240393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1619725306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 BLUE HILL AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021262122",
"telephone_number": "617-898-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BLUE HILL AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021262122",
"telephone_number": "617-898-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARANHOS VALVERDE",
"first_name": "LISIANE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MA",
"license": "DL10202",
"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 May 8, 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.