NPIMap

Organization Active NPI

Global Dental P.C

  • Dental Clinic/Center
  • Everett, MA
National Provider Identifier
1013483254
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GLOBAL DENTAL P.C
Practice address
439 Broadway
Everett, MA 02149-3612
Phone
(215) 301-8655
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Venu Kallam, DMDNPI 1518120013
Title
Dentist
Phone
(215) 301-8655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

439 Broadway
Everett, MA 02149-3612

Mailing address

58 Tea Party Way
Malden, MA 02148-1980
Phone (215) 301-8655

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1013483254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 TEA PARTY WAY",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021481980",
            "telephone_number": "215-301-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493612",
            "telephone_number": "215-301-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "KALLAM",
        "authorized_official_first_name": "VENU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-301-8655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.