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MR. IVAN PETROV DIMOV
NPI 1396430351
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 06, 2023
55 FRUIT STREET, BOSTON, MA 02114(617) 726-2000 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 3, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Mr. Ivan Petrov Dimov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IVAN PETROV DIMOV (NPI 1396430351) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1396430351
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. IVAN PETROV DIMOV
Location Address55 FRUIT STREETBoston, MA 02114
Mailing Address834 Westview CrescentNorth Vancouver, BRITISH COLUMBIA V7N3Y1
Phone(617) 726-2000
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1396430351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT STREET, Boston, MA 02114
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KUI TOH GERARD LEONG M.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-8862
MS. JACQUELINE BANGO LICSW
Social Worker (Clinical)
55 FRUIT STREET, FOUNDERS BUILDING SUITE 880
BOSTON, MA 02114
Suffolk County (617) 643-8281
SARA ELIZABETH GROSSLEIN PA
Physician Assistant
55 FRUIT STREET, WHITE 1
BOSTON, MA 02114
Suffolk County (617) 724-4100
JEFFREY M ELLENBOGEN M.D.
Psychiatry & Neurology (Neurology)
55 FRUIT STREET, WANG 720 (NEUROLOGY)
BOSTON, MA 02114
Suffolk County (617) 724-7419
DR. NANCY LEE HARRIS MD
Pathology (Anatomic Pathology & Clinical Pathology)
55 FRUIT STREET, WRN 2 PATHOLOGY ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-5155
DR. STANLEY YANG SHAW MD PHD
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, YAW 5 CARDIAC UNIT ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 724-6750
LEONARDO V RIELLA M.D., PHD
Internal Medicine
55 FRUIT STREET, WHITE 5
BOSTON, MA 02114
Suffolk County (617) 726-5050
SUSAN MAHER CRNA
Nurse Anesthetist, Certified Registered
55 FRUIT STREET, CLN 309 MGH ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Dimov's NPI number?

The NPI number for Ivan Dimov is 1396430351. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Ivan Dimov located?

Ivan Dimov practices at 55 Fruit Street, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Ivan Dimov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ivan Dimov was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.