Organization Active NPI

Hallmark Dental Leominster LLC

Doing business as Hallmark Dental

  • Dental Clinic/Center
  • Leominster, MA
National Provider Identifier
1720573561
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20845 Issued in MA
Legal business name
HALLMARK DENTAL LEOMINSTER LLC
Doing business as
Hallmark Dental
Practice address
23 Water St
Leominster, MA 01453-3216
Phone
(978) 534-4981
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Dr. Nanarao Krothapalli, DMD
Title
Dentist/ Owner
Phone
(617) 223-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20845 MA Primary

Addresses

Primary practice location

23 Water St
Leominster, MA 01453-3216

Mailing address

25 Nashua Rd Unit D1
Londonderry, NH 03053-3443
Phone (617) 223-1652

Other names 1

  • HALLMARK DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

23 Water St
Leominster, MA 01453
Phone (978) 534-4981

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1720573561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NASHUA RD UNIT D1",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533443",
            "telephone_number": "617-223-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WATER ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533216",
            "telephone_number": "978-534-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK DENTAL LEOMINSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "KROTHAPALLI",
        "authorized_official_first_name": "NANARAO",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "617-223-1652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "20845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALLMARK DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.