Active NPI
Meera Lakshmi Ram, DMD
- General Practice Dentistry
- Peabody, MA
National Provider Identifier
1497217848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1858626
- Practice address
- 95 Lynn St
Peabody, MA 01960-5705 - Phone
- (978) 532-1555
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DN1858626 | MA | Primary |
Addresses
Primary practice location
95 Lynn St
Peabody, MA 01960-5705
Mailing address
1 Nassau St Unit 1605
Boston, MA 02111-1584
Phone (352) 601-0196
Other practice location 1
21 Peace St
Providence, RI 02907-1510
Phone (401) 456-4038
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250908002123 | MA | Order and Referring Only - Dentist | 8820590946 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peabody Family Dental PLLC | Past | 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.
-
- Dental Clinic/Center
- Peabody, MA
- NPI 1609340090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1497217848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NASSAU ST UNIT 1605",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111584",
"telephone_number": "352-601-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 LYNN ST",
"city": "PEABODY",
"state": "MA",
"postal_code": "019605705",
"telephone_number": "978-532-1555"
}
],
"practiceLocations": [
{
"address_1": "21 Peace St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029071510",
"country_code": "US",
"telephone_number": "401-456-4038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAM",
"first_name": "MEERA",
"middle_name": "LAKSHMI",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1858626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.