Active NPI
Naman Rajeshkumar Rao, DMD, MMSC
- Dentist
- Fitchburg, MA
National Provider Identifier
1679293997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859589
- Practice address
- 130 Water St
Fitchburg, MA 01420-5478 - Phone
- (978) 342-8500
- NPI assigned
- Aug 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859589 | MA | Primary |
Addresses
Primary practice location
130 Water St
Fitchburg, MA 01420-5478
Mailing address
84 Park Avenue Ext
Arlington, MA 02474-2654
Phone (201) 913-4129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859589 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Franklin County Incorporated | Past | Accepting new patients | |
| Community Health Center of Franklin County Incorporated | Past | Accepting new patients |
Interoperability endpoints
- nrao50582@direct.ctc.masshiway.net
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Greenfield, MA
- NPI 1457300329
-
- Federally Qualified Health Center (FQHC)
- Orange, MA
- NPI 1750337333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1679293997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 PARK AVENUE EXT",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024742654",
"telephone_number": "201-913-4129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 WATER ST",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205478",
"telephone_number": "978-342-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "NAMAN RAJESHKUMAR",
"name_prefix": "Dr.",
"credential": "DMD, MMSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-29",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.