Organization Active NPI

Madhukar R Medipally, DMD, PC

  • Dental Clinic/Center
  • Ludlow, MA
National Provider Identifier
1447898184
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MADHUKAR R MEDIPALLY, DMD, PC
Practice address
534 Center St
Ludlow, MA 01056-2731
Phone
(413) 583-2070
Fax
(413) 583-6027
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Dr. Madhukar Reddy Medipally, DMD
Title
President
Phone
(413) 583-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

534 Center St
Ludlow, MA 01056-2731

Mailing address

PO Box 642
Ludlow, MA 01056-0642
Phone (413) 583-2070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1447898184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560642",
            "telephone_number": "413-583-2070",
            "fax_number": "413-583-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562731",
            "telephone_number": "413-583-2070",
            "fax_number": "413-583-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHUKAR R MEDIPALLY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "MEDIPALLY",
        "authorized_official_first_name": "MADHUKAR",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-583-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.