Park Square Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855451 Issued in MA

Legal business name

PARK SQUARE DENTAL PC

Practice address

60 Court St
Westfield, MA 01085-3509

Phone

(908) 955-3699

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sushma Reddy Donthi Reddy, DMD

Title

President

Phone

(908) 955-3699

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sushma D Reddy, DMD

  • General Practice Dentistry
  • Westfield, MA
  • NPI 1811208903
  NPD (past)

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1740636828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COURT ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "01085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COURT ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853509",
            "telephone_number": "908-955-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SQUARE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "DONTHI REDDY",
        "authorized_official_first_name": "SUSHMA REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-955-3699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Pappas
• Kendra Paquette
• Julie Elizabeth Paradis, LICSW
• Renee Parent, OTR/L
• Melissa A Parenteau
• Kyeyoung Park
• Patricia Parkhurst, SLP-CCC
• Stephanie L. Parnin
• Peter Evan Pascal, M.D.
• Victoria Pascuzzi

• General Practice Dentistry in Westfield, MA
• Providers in Westfield, 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 May 9, 2016; 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.