Madhu Katta, BDS, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855421 Issued in MA

Practice address

120 Temple Street
Avalon Dental Center
Somerville, MA 02145-1910

Phone

(617) 776-9000

Fax

(617) 776-9001

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Max Dental Care Inc

  • General Practice Dentistry
  • Somerville, MA
  • NPI 1750147997
  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1609186147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BROUGHTON DRIVE",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151822",
            "telephone_number": "848-219-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TEMPLE STREET",
            "address_2": "AVALON DENTAL CENTER",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451910",
            "telephone_number": "617-776-9000",
            "fax_number": "617-776-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTA",
        "first_name": "MADHU",
        "name_prefix": "Dr.",
        "credential": "BDS, DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855421",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uditi Kapoor
• Marianne Kardos, M.D.
• Angela Karras
• Jill E Kasper, MD
• Mara Kasuboski, DPT
• Naama Katz, LIC. AC.
• Janice F Kauffman, RN, LADC
• Gregory Mark Kaufman, LICSW
• Simranpreet Kaur
• Padmapriya Kavacheri Subramaniam, DPT

• Dentist in Somerville, MA
• Providers in Somerville, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.