Beverly Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BEVERLY DENTAL CARE PC

Practice address

109 Dodge St
Beverly, MA 01915-1053

Phone

(978) 927-3966

NPI assigned

Oct 12, 2020

Last updated

Oct 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nayaki GaddipatiNPI 1336339290

Title

President

Phone

(214) 336-9767

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nayaki Gaddipati, D.M.D

  • General Practice Dentistry
  • Hartford, CT
  • NPI 1336339290
  Authorized official Same address or phone
• Peter M Frasca, DMD

  • General Practice Dentistry
  • Beverly, MA
  • NPI 1972640340
  NPD (past)
• Sydney L Frasca, DMD

  • General Practice Dentistry
  • Beverly, MA
  • NPI 1326185794
  NPD (past)

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1013515147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151053",
            "telephone_number": "978-927-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "GADDIPATI",
        "authorized_official_first_name": "NAYAKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-336-9767"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette M Berson-Smith, LICSW
• Jennifer Rose Bertolon, CPNP, RN
• Julia Constance Bertozzi, PA-C
• Beth Israel Lahey Health Primary Care, Inc.
• Samantha B Beuchert
• Beverly Dental Group LLC
• Beverly Dentistry and Braces PC
• Beverly Family Chiropractic, P.C. (Gauthier Chiropractic Office)
• Beverly Farms Dental PLLC
• Beverly Health Department Dental Clinic

• General Practice Dentistry in Beverly, MA
• Providers in Beverly, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.