Rajeev Panakanti

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855998 Issued in MA

Practice address

241 Lincoln Ave
Haverhill, MA 01830-6738

Phone

(978) 469-9200

NPI assigned

Jun 18, 2012

Last updated

Jun 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1689937302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 LINCOLN AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306738",
            "telephone_number": "978-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 LINCOLN AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306738",
            "telephone_number": "978-469-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAKANTI",
        "first_name": "RAJEEV",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Otokhagua, MSN, APRN, PMHNP-BC
• Joseph Ouellette, RN
• Oxford Ma SNF LLC (The Oxford Rehabilitation and Health Care Center)
• Karen M Palazzo
• Tracy Palumbo, OTR/L
• Tamara Gail Panza, MA
• Vincent Joseph Paolino, DMD
• Cheryl N Papandrea, RNBC
• Lauren Pappalardo, CCC-SLP
• Darius Benjamin Papulis, PHARMD, RPH

• General Practice Dentistry in Haverhill, MA
• Providers in Haverhill, 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 Jun 18, 2012; 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.