Keerthy Chilakamarry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857756 Issued in MA

Practice address

314 Essex St
Lawrence, MA 01840-1411

Phone

(978) 327-5151

NPI assigned

Sep 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stellar Smiles Family Dental LLC

  dba Hathorne Family Dental

  • General Practice Dentistry
  • Danvers, MA
  • NPI 1902663933
  NPD Authorized official
• Hossam Makkar DMD PC

  • General Practice Dentistry
  • Lawrence, MA
  • NPI 1881715324
  NPD (past)
• Lawrence Family Dental Inc

  • Dentist
  • Lawrence, MA
  • NPI 1073820395
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1770092389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 HIGHLAND AVE APT 40",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483638",
            "telephone_number": "781-606-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401411",
            "telephone_number": "978-327-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILAKAMARRY",
        "first_name": "KEERTHY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857756",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AND HUMAN SERVICES",
            "identifier": "DN1857756",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James A Cheverie, M.D.
• Dara Chhean
• Jenny Shih-Jen Chiang, M.D
• Vita Chiarenza, LCSW
• Mary Chiccarelli
• Childrens Friend and Family Services
• Camila Maria Chile, MD
• Austin Henry Chinal
• Sahar Chitgar
• Hyung Chan Cho, DDS

• Dentist in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.