Individual provider Active NPI

Sanjiv Nehra, DMD

  • General Practice Dentistry
  • Marlborough, MA
National Provider Identifier
1528193885
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19710 Issued in MA
Practice address
222 Bolton St
Marlborough, MA 01752-3902
Phone
(508) 485-1800
Fax
(508) 485-1808
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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 19710 MA Primary

Addresses

Primary practice location

222 Bolton St
Marlborough, MA 01752-3902

Mailing address

11 Amanda Rd
Sudbury, MA 01776-2500
Phone (617) 833-7312

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
I20150317001961 MA Order and Referring Only - DentistPractitioner - Dentist 3072830777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19710MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates of Marlborough, Dr. Nehra LLC PastSince Jul 27, 2020 Accepting new patients
Dennis J Ahern DDS PC General Practice PastSince Jul 27, 2020 Accepting new patients

Organizations & group practices 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1528193885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 AMANDA RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762500",
            "telephone_number": "617-833-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523902",
            "telephone_number": "508-485-1800",
            "fax_number": "508-485-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHRA",
        "first_name": "SANJIV",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.