Organization Active NPI

Ramesh Durvasula D.M.D.,P.C.

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1356550461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3171 Issued in NH
Legal business name
RAMESH DURVASULA D.M.D.,P.C.
Practice address
345 Cilley Rd
Manchester, NH 03103-4500
Phone
(603) 669-7584
Fax
(603) 625-8464
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ramesh Durvasula, D.M.D.
Title
Owner
Phone
(603) 669-7584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3171 NH Primary

Addresses

Primary practice location

345 Cilley Rd
Manchester, NH 03103-4500

Mailing address

345 Cilley Rd
Manchester, NH 03103-4500
Phone (603) 669-7584

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356550461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CILLEY RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034500",
            "telephone_number": "603-669-7584",
            "fax_number": "603-625-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CILLEY RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034500",
            "telephone_number": "603-669-7584",
            "fax_number": "603-625-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMESH DURVASULA D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURVASULA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-669-7584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.