Individual provider Active NPI

Divya Swarup, D.M.D.

  • Dentist
  • Chelmsford, MA
National Provider Identifier
1245608041
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857051 Issued in MA
Practice address
65 Drum Hill Rd
Chelmsford, MA 01824-1503
Phone
(617) 608-8638
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857051 MA Primary

Addresses

Primary practice location

65 Drum Hill Rd
Chelmsford, MA 01824-1503

Mailing address

90 Barrington Ave
Nashua, NH 03062-2288
Phone (617) 608-8638

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160406001279 MA Order and Referring Only - DentistPractitioner - Dentist 2961700018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1245608041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BARRINGTON AVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622288",
            "telephone_number": "617-608-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DRUM HILL RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241503",
            "telephone_number": "617-608-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARUP",
        "first_name": "DIVYA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.