NPIMap

Organization Active NPI

Hallmark Dental Everett

  • Dentist
  • Everett, MA
National Provider Identifier
1386092807
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20845 Issued in MA
Legal business name
HALLMARK DENTAL EVERETT
Doing business as
Hallmark Dental
Practice address
551 Broadway
Everett, MA 02149-3737
Phone
(617) 223-1652
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Nanarao Krothapalli, DMD
Title
President
Phone
(617) 223-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20845 MA Primary

Addresses

Primary practice location

551 Broadway
Everett, MA 02149-3737

Mailing address

551 Broadway
Everett, MA 02149-3737

Other names 1

  • Hallmark Dental Doing business as

National Provider Directory

National Provider Directory

Locations

551 Broadway
Everett, MA 02149
Phone (617) 223-1652

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1386092807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493737",
            "telephone_number": "617-223-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK DENTAL EVERETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "KROTHAPALLI",
        "authorized_official_first_name": "NANARAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-223-1652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallmark Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.