Ambarish Walvekar, BDS, MSD

Individual provider Active NPI General Practice Dentistry · Turners Falls, MA

NPI 1801047360 · NPPES record last updated Dec 10, 2013

Key facts

NPI
1801047360
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DL12044 (MA)
Practice address
338 Montague City Rd
Turners Falls, MA 01376-1830
Phone
(413) 774-2615
NPI assigned
Oct 2, 2008
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161010000078 MA Order and Referring Only - Dentist
Practitioner - Dentist
8921396805

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DL12044MAMDGeneral Practice Dentistry
10420MAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: awalvekar21290@direct.ctc.masshiway.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 10420 MA
General Practice Dentistry 1223G0001X DL12044 MA Yes

Addresses

Primary practice location

338 Montague City Rd
Turners Falls, MA 01376-1830

Mailing address

338 Montague City Rd
Turners Falls, MA 01376-1830
Phone (413) 774-2615

Other providers in Turners Falls, MA

All providers in Turners Falls, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.