Organization Active NPI

Sai Raghav Dental LLC

Doing business as Redstone Smile Center

  • Dentist
  • Stoneham, MA
National Provider Identifier
1184918054
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19616 Issued in MA
Legal business name
SAI RAGHAV DENTAL LLC
Doing business as
Redstone Smile Center
Practice address
70 Main St
Stoneham, MA 02180-3312
Phone
(781) 438-0345
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Mrs. Rajashri Madhur, M.S
Title
Office Manager
Phone
(781) 438-0345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19616 MA Primary

Addresses

Primary practice location

70 Main St
Stoneham, MA 02180-3312

Mailing address

70 Main St
Stoneham, MA 02180-3312
Phone (781) 438-0345

Other names 1

  • Redstone Smile Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1184918054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803312",
            "telephone_number": "781-438-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803312",
            "telephone_number": "781-438-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI RAGHAV DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "MADHUR",
        "authorized_official_first_name": "RAJASHRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-438-0345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redstone Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.