Active NPI
Meenakshy Yegneswaran, DMD
- Dentist
- Worcester, MA
National Provider Identifier
1750402327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19764
- Practice address
- 101 Pleasant St
201
Worcester, MA 01609-3213 - Phone
- (508) 752-2485
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19764 | MA | Primary |
Addresses
Primary practice location
101 Pleasant St
201
Worcester, MA 01609-3213
Mailing address
3 Greenwood Road
Hopkinton, MA 01748
Phone (508) 435-4651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206075 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19764 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pleasant Street Dental PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Worcester, MA
- NPI 1578996070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1750402327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GREENWOOD ROAD",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "01748",
"telephone_number": "508-435-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PLEASANT ST",
"address_2": "201",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016093213",
"telephone_number": "508-752-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEGNESWARAN",
"first_name": "MEENAKSHY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "19764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0206075",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.