Active NPI
Yelena V. Gutnichenko, DMD, P.C.
- Endodontics
- Waltham, MA
National Provider Identifier
1669516993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- YELENA V. GUTNICHENKO, DMD, P.C.
- Practice address
- 52 Elm St
Waltham, MA 02453-5317 - Phone
- (781) 899-9530
- Fax
- (781) 736-0977
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yelena V Gutnichenko, D.M.D.
- Title
- President
- Phone
- (781) 899-9530
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary | ||
| General Practice Dentistry | 1223G0001X | |||
| Periodontics | 1223P0300X |
Addresses
Primary practice location
52 Elm St
Waltham, MA 02453-5317
Mailing address
52 Elm St
Waltham, MA 02453-5317
Phone (781) 899-9530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9732811 | Medicaid | MA |
Other names 1
- Elm Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Bennington, VT
- NPI 1447267083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1669516993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 ELM ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535317",
"telephone_number": "781-899-9530",
"fax_number": "781-736-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 ELM ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535317",
"telephone_number": "781-899-9530",
"fax_number": "781-736-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YELENA V. GUTNICHENKO, DMD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GUTNICHENKO",
"authorized_official_first_name": "YELENA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-899-9530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9732811",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elm Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.