Burlington Dentist Office, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BURLINGTON DENTIST OFFICE, PC

Practice address

74 Burlington Mall Rd
Burlington, MA 01803-4518

Phone

(714) 845-8890

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sudhakar R Chokka, DDS

Title

Owner/DDS

Phone

(714) 845-8890

Specialties & licenses 1

Addresses

Other names 1

• Burlington Dentist Office Doing business as

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1669930806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BURLINGTON MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034518",
            "telephone_number": "714-845-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON DENTIST OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "CHOKKA",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "714-845-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Dentist Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burlington Dentist Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.