Raghav Sai Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DN19616 Issued in MA

Legal business name

RAGHAV SAI DENTAL

Practice address

21 George St
201
Lowell, MA 01852-2228

Phone

(978) 453-8610

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Manjula Battaluri, DMD

Title

Dentist

Phone

(978) 853-8610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smile Center Doing business as

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1376997734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JACK RABBIT LN",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018866804",
            "telephone_number": "617-320-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GEORGE ST",
            "address_2": "201",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522228",
            "telephone_number": "978-453-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHAV SAI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "BATTALURI",
        "authorized_official_first_name": "MANJULA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-853-8610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN19616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201260",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aoko Denise Rachier, RN
• Radiant Minds LLC
• Radiation Oncology Associates, PA
• Radiation Oncology of Greater Lowell,PC
• Sara Raffle
• Chelsie Raimondi
• Rainbow Eye Care LLC
• Simon Rajan, D.D.S
• Kumble R Rajesh, MD
• Eliza B Rakip

• Dentist in Lowell, MA
• Providers in Lowell, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.