Individual provider Active NPI

Ravindra Kumar Burugapalli, DMD

  • General Practice Dentistry
  • Allenstown, NH
National Provider Identifier
1619232899
Registry record updated Jan 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855992 Issued in MA
Practice address
50 Pinewood Rd
Allenstown, NH 03275-2366
Phone
(603) 485-8464
NPI assigned
Jul 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 03917 NH
General Practice Dentistry 1223G0001X DN1855992 MA Primary

Addresses

Primary practice location

50 Pinewood Rd
Allenstown, NH 03275-2366

Mailing address

15 Sundown Dr Unit B
Derry, NH 03038-1741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160316001855 CT Order and Referring Only - DentistPractitioner - Dentist 6709182710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855992MAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: ravindra.burugapalli@chcict.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390608000000",
    "number": "1619232899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUNDOWN DR UNIT B",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PINEWOOD RD",
            "city": "ALLENSTOWN",
            "state": "NH",
            "postal_code": "032752366",
            "telephone_number": "603-485-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURUGAPALLI",
        "first_name": "RAVINDRA",
        "middle_name": "KUMAR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2014-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03917",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allenstown, NH

Sources for this page

Verify at the official NPI Registry.