NPIMap

Organization Active NPI

Comfort Dental Associates LLC

  • Dentist
  • Westford, MA
National Provider Identifier
1619478328
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19613 Issued in MA
Legal business name
COMFORT DENTAL ASSOCIATES LLC
Practice address
270 Littleton Rd Ste 12
Westford, MA 01886-3523
Phone
(978) 692-3051
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Aruna L Jonnalagadda, DMDNPI 1730390956
Title
Dentist/Owner
Phone
(978) 996-1338

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN19613 MA Primary

Addresses

Primary practice location

270 Littleton Rd Ste 12
Westford, MA 01886-3523

Mailing address

853 Main St Ste 201
Tewksbury, MA 01876-1854
Phone (978) 851-2492

Other practice location 1

853 Main St Ste 201
Tewksbury, MA 01876-1854
Phone (978) 851-2492

Other identifiers 2

IdentifierTypeStateIssuer
0220221MedicaidMA
V06608OtherMABLUE CROSS /BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

853 Main St
Ste 201
Tewksbury, MA 01876
Phone (978) 851-2492

270 Littleton Rd
Ste 12
Westford, MA 01886
Phone (978) 692-3051

Practitioners & affiliated clinicians

Practitioners 2

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": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1619478328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 MAIN ST STE 201",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761854",
            "telephone_number": "978-851-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LITTLETON RD STE 12",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863523",
            "telephone_number": "978-692-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tewksbury",
            "state": "MA",
            "postal_code": "018761854",
            "country_code": "US",
            "telephone_number": "978-851-2492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMFORT DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JONNALAGADDA",
        "authorized_official_first_name": "ARUNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "978-996-1338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN19613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220221",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS /BLUE SHIELD",
            "identifier": "V06608",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.