Active NPI
Suneel C. Kandru, DDS
- Endodontics
- Roxbury, MA
National Provider Identifier
1801076690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DL15572
- Practice address
- 45 Dimock St
Roxbury, MA 02119-1208 - Phone
- (617) 442-8800
- Fax
- (617) 541-0950
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DL15572 | MA | Primary |
Addresses
Primary practice location
45 Dimock St
Roxbury, MA 02119-1208
Mailing address
326 Nichols Road
Fitchburg, MA 01420
Phone (978) 878-8100
Other practice location 1
326 Nichols Road
Fitchburg, MA 01420
Phone (978) 878-8100
Other practice location 2
410 S Main St
Concord, NH 03301-3483
Phone (978) 857-0182
Other practice location 3
801 Elm St
Manchester, NH 03101-2103
Phone (978) 857-0182
Other practice location 4
225 Daniel Webster Hwy
Nashua, NH 03060-5536
Phone (978) 857-0182
Other practice location 5
55 E Broadway
Derry, NH 03038-2457
Phone (978) 857-0182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9760 | Other | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161102000158 | MA | Order and Referring Only - Dentist | 7911285564 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL15572 | MA | MD | Endodontist |
Interoperability endpoints
- skandru19741@direct.ctc.masshiway.net
- suneel.kandru@tdc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1801076690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 NICHOLS ROAD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "01420",
"telephone_number": "978-878-8100",
"fax_number": "978-878-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 DIMOCK ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191208",
"telephone_number": "617-442-8800",
"fax_number": "617-541-0950"
}
],
"practiceLocations": [
{
"address_1": "326 Nichols Road",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "MA",
"postal_code": "01420",
"country_code": "US",
"telephone_number": "978-878-8100",
"fax_number": "978-878-8326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 S Main St",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033013483",
"country_code": "US",
"telephone_number": "978-857-0182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Elm St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031012103",
"country_code": "US",
"telephone_number": "978-857-0182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Daniel Webster Hwy",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030605536",
"country_code": "US",
"telephone_number": "978-857-0182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 E Broadway",
"address_purpose": "LOCATION",
"city": "Derry",
"state": "NH",
"postal_code": "030382457",
"country_code": "US",
"telephone_number": "978-857-0182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANDRU",
"first_name": "SUNEEL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "DL15572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "9760",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.