Sandhya Goli DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19257 Issued in MA

Legal business name

SANDHYA GOLI DMD, LLC

Practice address

2400 Massachusetts Ave
2D Floor
Cambridge, MA 02140-1854

Phone

(617) 576-6566

Fax

(617) 576-3005

NPI assigned

Apr 4, 2008

Organization subpart

Yes

Parent organization

SANDHYA GOLI DMD, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Sandhya Goli, D.M.D

Title

Owner

Phone

(617) 576-6566

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Era Dental Doing business as

Part of

Sandhya Goli DMD LLC

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1689847121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MASSACHUSETTS AVE",
            "address_2": "2D FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401854",
            "telephone_number": "617-576-6566",
            "fax_number": "617-576-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MASSACHUSETTS AVE",
            "address_2": "2D FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401854",
            "telephone_number": "617-576-6566",
            "fax_number": "617-576-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHYA GOLI DMD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDHYA GOLI DMD, LLC",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "GOLI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-576-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280852",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Era Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Luis Sanchez, DA14992
• Roger Sanchez, RN
• Sancta Maria Hospital, Inc.
• Jeena Sandeep, MBBS
• Sarah Ann Sanders, MD
• Ann Margaret Sandin, MD
• Aaron Gabriel Sandoval
• Steven M Sands, PH.D., D.PHIL.
• Alyssa Sanfilippo, MS CCC-SLP
• Margaretta Sangree

• General Practice Dentistry in Cambridge, MA
• Providers in Cambridge, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.