Individual provider Active NPI

Narender S Dudee, DDS

  • General Practice Dentistry
  • Northampton, MA
National Provider Identifier
1730428707
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856190 Issued in MA
Practice address
12 Center St
Northampton, MA 01060-3005
Phone
(413) 585-5880
Fax
(413) 585-5950
NPI assigned
Feb 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856190 MA Primary

Addresses

Primary practice location

12 Center St
Northampton, MA 01060-3005

Mailing address

13527 Steelecroft Pkwy Ste a
Charlotte, NC 28278-7887
Phone (704) 749-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617002418 MA Order and Referring Only - DentistPractitioner - Dentist 5294046215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856190MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1730428707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13527 STEELECROFT PKWY STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787887",
            "telephone_number": "704-749-6300",
            "fax_number": "704-749-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTER ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603005",
            "telephone_number": "413-585-5880",
            "fax_number": "413-585-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEE",
        "first_name": "NARENDER",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-11",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.