Satyashankara Aditya Tadinada, D.D.S, M.D.S

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

License

010519 Issued in CT

Practice address

263 Farmington Ave
Farmington, CT 06030-3571

Phone

(860) 679-3415

Fax

(860) 679-7507

NPI assigned

Aug 13, 2010

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: stadinada10441@direct.med.uchc.edu

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1124333265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "UCONN SCHOOL OF DENTAL MEDICINE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321956",
            "telephone_number": "860-679-2207",
            "fax_number": "860-679-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060303571",
            "telephone_number": "860-679-3415",
            "fax_number": "860-679-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADINADA",
        "first_name": "SATYASHANKARA",
        "middle_name": "ADITYA",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2022-09-28",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "CT",
            "license": "010519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stadinada10441@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060303571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beenish A Syed, M.D.
• Usheem Syed, MD
• Mark Synol, RPH
• Tyler Szymanski Bly
• Wazida Tabassum, DC
• Micheal Samy Tadros, M.D.
• Sonam Talreja
• Lisa Michelle Tamburini, MD
• Jessica Tan, DMD
• Wan Ying Tan, MD

• Dentist in Farmington, CT
• Providers in Farmington, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.