Individual provider Active NPI

Tarakeswar Reddy Vonguru

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1457649683
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855800 Issued in MA
Practice address
1178 Parker St
Springfield, MA 01129-1030
Phone
(413) 783-5787
NPI assigned
Jul 21, 2011
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855800 MA Primary

Addresses

Primary practice location

1178 Parker St
Springfield, MA 01129-1030

Mailing address

1178 Parker St
Springfield, MA 01129-1030
Phone (413) 783-5787

Other practice location 1

49 S Main St
Torrington, CT 06790-6430
Phone (860) 618-7444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160325000459 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537466123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855800MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Dental Roslindale PC Current Accepting new patients
Unity Dental Springfield PC CurrentSince Apr 23, 2023 Accepting new patients
Unity Dental Torrington LLC CurrentSince Sep 1, 2024 Accepting new patients
16 Acres Dental Health Center, PC General Practice PastSince Nov 18, 2020 Accepting new patients

Locations

49 S Main St
Torrington, CT 06790
Phone (860) 618-7444

1178 Parker St
Springfield, MA 01129
Phone (413) 783-5787

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1457649683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 PARKER ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291030",
            "telephone_number": "413-783-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 PARKER ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291030",
            "telephone_number": "413-783-5787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 S Main St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067906430",
            "country_code": "US",
            "telephone_number": "860-618-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONGURU",
        "first_name": "TARAKESWAR REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.