Poornima Gopalakrishnan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859897 Issued in MA

Practice address

14 Commercial Rd
Leominster, MA 01453-3338

Phone

(978) 840-9900

NPI assigned

May 25, 2023

Sex

Female

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1720770878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DUNIA LN UNIT 18",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322461",
            "telephone_number": "540-632-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COMMERCIAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533338",
            "telephone_number": "978-840-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALAKRISHNAN",
        "first_name": "POORNIMA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeisa Yomary Gomez Torres, M.D.
• Rosita E Gonzalez, LMHC
• Samantha Aupperlee Good, R.N/N.P
• Jamie Goodgion
• Michelle Ann Goodnow, M.S.W.
• Rachel Gopfert
• Jeffrey S Gorodetsky, M.D.
• Michael Edwad Gotthelf I, M.D.
• Debra Ann Gould, PTA
• Thomas Robert Gould, MA

• General Practice Dentistry in Leominster, MA
• Providers in Leominster, 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 Aug 4, 2023; 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.