Individual provider Active NPI

Sharanya Kumaraswamy, DMD

  • Dentist
  • Needham, MA
National Provider Identifier
1821426701
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856431 Issued in MA
Practice address
12 Perrault Rd
Apt # 3
Needham, MA 02494-3285
Phone
(508) 494-4229
NPI assigned
Oct 31, 2013
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4272 ME
Dentist 122300000X DN1856431 MA Primary
General Practice Dentistry 1223G0001X 4272 ME

Addresses

Primary practice location

12 Perrault Rd
Apt # 3
Needham, MA 02494-3285

Mailing address

659 Fall River Ave
Seekonk, MA 02771-5620
Phone (508) 336-4525

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
I20150707001901 MA Order and Referring Only - DentistPractitioner - Dentist 4789996604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4272MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
River Ave Dental PLLC General Practice CurrentSince Apr 9, 2024 Accepting new patients
Andrew J Molak DMD Dentist PastSince Apr 9, 2024 Accepting new patients

Locations

659 Fall River Ave
Seekonk, MA 02771
Phone (508) 336-4525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1821426701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715620",
            "telephone_number": "508-336-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PERRAULT RD",
            "address_2": "APT # 3",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943285",
            "telephone_number": "508-494-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMARASWAMY",
        "first_name": "SHARANYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "4272",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856431",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.