Individual provider Active NPI

Amanda Garrandes, DMD

  • Dentist
  • Hanover, MA
National Provider Identifier
1477315992
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10000898 Issued in MA
Practice address
1810 Washington St Ste 3&4
Hanover, MA 02339-1685
Phone
(508) 499-8435
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN10000898 MA Primary

Addresses

Primary practice location

1810 Washington St Ste 3&4
Hanover, MA 02339-1685

Mailing address

660 Washington St Apt 7F
Boston, MA 02111-3221
Phone (786) 877-1254

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
I20250915003199 MA Order and Referring Only - DentistPractitioner - Dentist 8123521093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10000898MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Hanover, PC Dentist PastSince Aug 17, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1477315992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WASHINGTON ST APT 7F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021113221",
            "telephone_number": "786-877-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WASHINGTON ST STE 3&4",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391685",
            "telephone_number": "508-499-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRANDES",
        "first_name": "AMANDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

Verify at the official NPI Registry.