Individual provider Active NPI

Suneel C. Kandru, DDS

  • Endodontics
  • Roxbury, MA
National Provider Identifier
1801076690
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DL15572 Issued in MA
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

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9760OtherDENTAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102000158 MA Order and Referring Only - DentistPractitioner - Dentist 7911285564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL15572MAMDEndodontist

Interoperability endpoints

  • Direct secure messaging: skandru19741@direct.ctc.masshiway.net
  • Direct secure messaging: 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

Verify at the official NPI Registry.