Active NPI
Haasya Kanamarlapudi
- Dentist
- Prince Frederick, MD
National Provider Identifier
1760216485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18348
- Practice address
- 284 Merrimac CT
Prince Frederick, MD 20678-4133 - Phone
- (410) 535-2011
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 18348 | MD | Primary |
Addresses
Primary practice location
284 Merrimac CT
Prince Frederick, MD 20678-4133
Mailing address
4847 Flossmoor PL Apt 204
Waldorf, MD 20602-6107
Phone (609) 379-1213
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18348 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1760216485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4847 FLOSSMOOR PL APT 204",
"city": "WALDORF",
"state": "MD",
"postal_code": "206026107",
"telephone_number": "609-379-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 MERRIMAC CT",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784133",
"telephone_number": "410-535-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAMARLAPUDI",
"first_name": "HAASYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.