Individual provider Active NPI

Sai Anusha Adlur Janakiraman, DMD

  • General Practice Dentistry
  • Haverhill, MA
National Provider Identifier
1508350778
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858005 Issued in MA
Practice address
2 Water St
Haverhill, MA 01830-6229
Phone
(617) 571-6357
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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 DN1858005 MA Primary

Addresses

Primary practice location

2 Water St
Haverhill, MA 01830-6229

Mailing address

504 Tri City Rd
Somersworth, NH 03878-1333
Phone (617) 571-6357

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180828000797 NH Order and Referring Only - DentistPractitioner - Dentist 7214286061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858005MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1508350778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 TRI CITY RD",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781333",
            "telephone_number": "617-571-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306229",
            "telephone_number": "617-571-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLUR JANAKIRAMAN",
        "first_name": "SAI ANUSHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.