George Dallos, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

49093 Issued in MA

Practice address

20 Hope Ave
Suite G06
Waltham, MA 02453

Phone

(781) 894-2996

Fax

(781) 647-5996

NPI assigned

Sep 30, 2006

Last updated

Dec 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1922191329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G06",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-894-2996",
            "fax_number": "781-647-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G06",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-894-2996",
            "fax_number": "781-647-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLOS",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "49093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J02260",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "049093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D & G Associates Waltham, Inc.
• Alicia Lynne Dabek
• Maryellen Daigneault, OTRL
• Nicoletta Dalavouras, PHARMD
• Katrena Ani Daldalian, PHARMD
• Laurel A Daly, RPH
• Sara Mary Damata, DNP, WHNP, MSN, RN
• Golnaz Damghani, DDS
• Damian D Meola DMD PC
• Lesley Jordana Daniel, O.T

• Pediatrics Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.