Madhurima Damera, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21929 Issued in MA

Practice address

150 Westford Rd Unit 3
Tyngsboro, MA 01879-2512

Phone

(978) 259-5965

Fax

(978) 226-5257

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Tyngsboro Dental Care

  • Dentist
  • Westford, MA
  • NPI 1568900884
  NPD (past) Authorized official
• Westford Family Dental

  • Dental Clinic/Center
  • Westford, MA
  • NPI 1548743776
  NPD (past) Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1275732463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WESTFORD RD UNIT 3",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792512",
            "telephone_number": "978-259-5965",
            "fax_number": "978-226-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WESTFORD RD UNIT 3",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792512",
            "telephone_number": "978-259-5965",
            "fax_number": "978-226-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Littleton Rd # 19",
            "address_purpose": "LOCATION",
            "city": "Westford",
            "state": "MA",
            "postal_code": "018863191",
            "country_code": "US",
            "telephone_number": "978-392-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMERA",
        "first_name": "MADHURIMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21929",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Clark, OT
• Clearview Center of New England, Inc.
• Clearview Counseling LLC
• Connect Care Homecare
• Katie Alyssa Corcoran, LMHC
• Amy Selena Doyle, LPN
• Dudlek Dental LLC (Tyngsboro Family Dental Practice)
• Alexa Ann Dunn
• Joseph G Durham
• Donald Errico, RPH

• General Practice Dentistry in Tyngsboro, MA
• Providers in Tyngsboro, 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 Sep 13, 2018; 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.