Madhavi Venkata Kadiyala, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D120500 Issued in NJ

Practice address

660 Plainsboro Rd
Princeton Meadows Shopping Center
Plainsboro, NJ 08536

Phone

(609) 275-9688

Fax

(609) 275-9673

NPI assigned

Sep 29, 2006

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 and National Provider Directory roles.

• Dental Illuminations

  • General Practice Dentistry
  • Plainsboro, NJ
  • NPI 1720117849
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487746830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 PLAINSBORO RD",
            "address_2": "PRINCETON MEADOWS SHOPPING CENTER",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "609-275-9688",
            "fax_number": "609-275-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PLAINSBORO RD",
            "address_2": "PRINCETON MEADOWS SHOPPING CENTER",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "609-275-9688",
            "fax_number": "609-275-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIYALA",
        "first_name": "MADHAVI",
        "middle_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D120500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan P Johnson, MD
• Lawrence Joseph Jordan III, M.D.
• JSR-SGS PA
• Maureen K Judd, PT
• Ramez Juha, MD
• Steven Paul Kahn, M.D
• Lavanya Kamineni, APN
• Danielle Kane, APN-C
• Jean H. Kang, D.D.S.
• Patricia P Kao, MD

• Dentist in Plainsboro, NJ
• Providers in Plainsboro, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.