Organization Active NPI

Sai Dental Services LLC

Doing business as Beverly Smiles

  • General Practice Dentistry
  • Beverly, MA
National Provider Identifier
1073715058
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19616 Issued in MA
Legal business name
SAI DENTAL SERVICES LLC
Doing business as
Beverly Smiles
Practice address
277 Cabot St
Beverly, MA 01915-4525
Phone
(978) 927-1750
Fax
(978) 993-4046
NPI assigned
Jun 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mrs. Raji Madhur
Title
Office Manager
Phone
(978) 927-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19616 MA Primary

Addresses

Primary practice location

277 Cabot St
Beverly, MA 01915-4525

Mailing address

277 Cabot St
Beverly, MA 01915-4525
Phone (978) 927-1750

Other identifiers 1

IdentifierTypeStateIssuer
X12485OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • BEVERLY SMILES Doing business as

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": "1180742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1073715058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154525",
            "telephone_number": "978-927-1750",
            "fax_number": "978-993-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 CABOT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154525",
            "telephone_number": "978-927-1750",
            "fax_number": "978-993-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-02",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "MADHUR",
        "authorized_official_first_name": "RAJI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-927-1750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X12485",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.