Mayur Kewalramani, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855797 Issued in MA

Practice address

644 American Legion Hwy
Community Family Dental
Roslindale, MA 02131-3901

Phone

(617) 553-8100

NPI assigned

Jul 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Family Dental, LLC

  • General Practice Dentistry
  • Roslindale, MA
  • NPI 1699905703
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1023396165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 AMERICAN LEGION HWY",
            "address_2": "COMMUNITY FAMILY DENTAL",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313901",
            "telephone_number": "617-553-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 AMERICAN LEGION HWY",
            "address_2": "COMMUNITY FAMILY DENTAL",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313901",
            "telephone_number": "617-553-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEWALRAMANI",
        "first_name": "MAYUR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis P Kelleher, NP-C
• Ryan Kennedy
• Hannah Kent
• Naiyelly Kersey, MSW, LICSW
• Amy Lynne Kesselman, LMHC
• Elsy Khallouf
• Souha Khan
• Canaan David Khoury II, PHARMD
• Kim Cooke Counseling LLC
• Seungyun Kim

• Dentist in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.