Nandhini Bogavelli, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS038343 Issued in PA

Practice address

555 E Chocolate Ave
101
Hershey, PA 17033-1334

Phone

(717) 312-7030

NPI assigned

Jun 22, 2010

Last updated

Aug 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Pristine Smiles Family Dentistry

  • Dental Clinic/Center
  • Mechanicsburg, PA
  • NPI 1851014864
  NPD Authorized official
• Hershey Dental Care

  • Dental Clinic/Center
  • Hershey, PA
  • NPI 1306115548
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1396066544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 GREGS DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115555",
            "telephone_number": "814-439-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHOCOLATE AVE",
            "address_2": "101",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331334",
            "telephone_number": "717-312-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAVELLI",
        "first_name": "NANDHINI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandralee A Blosser, MD
• Danielle Boal, MD
• Henry Boateng
• Raphael L. Bochent, CRNA
• John P Boehmer, MD
• Samantha Mae Bohn, PA-C
• Syeda Maha Bokhari, MD
• Stephanie Lyn Bolger, PA-C
• Edward R Bollard, MD
• Craig Allen Bollig, M.D.

• Dentist in Hershey, PA
• Providers in Hershey, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.