NPIMap

Organization Active NPI

My Dental Lawrence PLLC

  • Dental Clinic/Center
  • Lawrence, MA
National Provider Identifier
1578120754
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MY DENTAL LAWRENCE PLLC
Practice address
My Dental Lawrence PLLC
465 South Broadway
Lawrence, MA 01843
Phone
(740) 215-8549
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Srinivas Desaneedi, DMDNPI 1023271590
Title
Owner/Dentist
Phone
(740) 215-8549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

My Dental Lawrence PLLC
465 South Broadway
Lawrence, MA 01843

Mailing address

20 Balancing Rock Rd
Canton, MA 02021-4230
Phone (740) 215-8549

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1578120754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BALANCING ROCK RD",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214230",
            "telephone_number": "740-215-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MY DENTAL LAWRENCE PLLC",
            "address_2": "465 SOUTH BROADWAY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01843",
            "telephone_number": "740-215-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTAL LAWRENCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "DESANEEDI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "740-215-8549",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.