Narendra Jayanth Gutla Palli, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

04262 Issued in NH

Practice address

17 Lowes Dr
Northfield, NH 03276-5165

Phone

(603) 729-3397

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Sex

Male

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

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1508317132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WOODVIEW WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031028423",
            "telephone_number": "617-817-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LOWES DR",
            "city": "NORTHFIELD",
            "state": "NH",
            "postal_code": "032765165",
            "telephone_number": "603-729-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTLA PALLI",
        "first_name": "NARENDRA",
        "middle_name": "JAYANTH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chae Young Lee, DMD
• Katherine McKinster, MA CCC-SLP
• James Plummer, OTR/L
• Sara L Rich

• Dentist in Northfield, NH
• Providers in Northfield, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.

Verify at the official NPI Registry.