Hallmark Dental Salem LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HALLMARK DENTAL SALEM LLC

Practice address

260 Essex St
Salem, MA 01970-3434

Phone

(617) 223-0000

NPI assigned

Jul 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nanarao Krothapalli, DMD

Title

Dentist

Phone

(617) 223-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1063936458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NASHUA RD UNIT D1",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533443",
            "telephone_number": "603-432-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703434",
            "telephone_number": "617-223-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK DENTAL SALEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "KROTHAPALLI",
        "authorized_official_first_name": "NANARAO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-223-0000",
        "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": []
}

• Daniel Carroll Hagan, DO
• Nicole Hagan
• Kyle Robert Halben
• Carolanne Mary Hale, BA, MA, MS
• Lauren A Haliczer, PHD
• Stephanie Joyce Halloran, LICSW
• Helyne Naomi Hamelburg, D.M.D.
• Jacob Hamelburg, DMD
• Stephen Mark Hamelburg, D.M.D.
• Hanger Prosthetics & Orthotics East Inc

• Dental Clinic/Center in Salem, MA
• Providers in Salem, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.