Active NPI
Victoria S. Dorgan
- Durable Medical Equipment & Medical Supplies
- Mansfield, MA
National Provider Identifier
1720123102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 31 Balcom St
Mansfield, MA 02048-2010 - Phone
- (508) 261-1007
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
31 Balcom St
Mansfield, MA 02048-2010
Mailing address
31 Balcom St
Mansfield, MA 02048-2010
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 702925 | Other | MA | HARVARD PILGRIM HEALTH |
| 804276 | Other | MA | TUFTS SECURE HORIZON |
| 376454 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| 1537083 | Medicaid | MA | |
| 82-09709 | Other | MA | UNITED HEALTHCARE OF NE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1720123102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BALCOM ST",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BALCOM ST",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482010",
"telephone_number": "508-261-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORGAN",
"first_name": "VICTORIA",
"middle_name": "S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "702925",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS SECURE HORIZON",
"identifier": "804276",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "376454",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1537083",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF NE",
"identifier": "82-09709",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.