Divya Reddy Anugu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12973 Issued in CT

Practice address

35 Pleasant St Ste 2D
Meriden, CT 06450-7596

Phone

(203) 404-6800

NPI assigned

Oct 12, 2017

Last updated

Feb 1, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1427569870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STONE LN APT 2301",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021481566",
            "telephone_number": "973-704-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PLEASANT ST STE 2D",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507596",
            "telephone_number": "203-404-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUGU",
        "first_name": "DIVYA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12973",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Annino
• Elizabeth R Antal, MSC
• Debra J Antari, MS LPC
• Anthony G Lendino M.D. LLC
• Nicolas Antico, PA-C
• Apple Dental and Associates,LLC
• Appointed to Care LLC
• Karen Armstrong, LPC
• Breonna Arnum, LMFTA
• Rena Luger Aroesty, MD

• General Practice Dentistry in Meriden, CT
• Providers in Meriden, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.