Madhukar Reddy Medipally, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855194 Issued in MA

Practice address

139 Endicott St
Danvers, MA 01923-4803

Phone

(978) 777-8111

NPI assigned

Jul 6, 2009

Last updated

Dec 21, 2011By the provider in NPPES

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

State licenses

Practice roles

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

• Madhukar R Medipally, DMD, PC

  • Dental Clinic/Center
  • Ludlow, MA
  • NPI 1447898184
  NPD

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1235368713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ENDICOTT STREET",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-777-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ENDICOTT ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234803",
            "telephone_number": "978-777-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIPALLY",
        "first_name": "MADHUKAR REDDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Dawn Meade, LCSW
• Meagan Bakhit LMHC
• Michaela A Means
• Idelis Medina Ramirez
• Limary Medina
• Noelle Medugno, M.ED
• Chelsea Medvedeff
• Nicole Mehegan
• Erika Lynn Melanson
• Jessica Lorraine Melanson

• General Practice Dentistry in Danvers, MA
• Providers in Danvers, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.