Organization Active NPI

Framingham Modern Dentistry, PC

  • Dentist
  • Framingham, MA
National Provider Identifier
1730940495
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FRAMINGHAM MODERN DENTISTRY, PC
Practice address
571 Worcester Rd Ste 5
Framingham, MA 01701-5370
Phone
(508) 504-8926
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Sudhakar R Chokka, DDS
Title
Owner Doctor
Phone
(508) 689-5259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

571 Worcester Rd Ste 5
Framingham, MA 01701-5370

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • FRAMINGHAM MODERN DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

571 Worcester Rd
Ste 5
Framingham, MA 01701
Phone (508) 504-8926

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1730940495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 WORCESTER RD STE 5",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015370",
            "telephone_number": "508-504-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAMINGHAM MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "CHOKKA",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "508-689-5259",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRAMINGHAM MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.