Active NPI
Avni Pandhi
- Dentist
- Saugus, MA
National Provider Identifier
1821583303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858541
- Practice address
- 1423 Broadway
Saugus, MA 01906-4707 - Phone
- (781) 941-2900
- NPI assigned
- Jun 26, 2018
- Last updated
- Mar 31, 2023
- 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 | DN1858541 | MA | Primary |
Addresses
Primary practice location
1423 Broadway
Saugus, MA 01906-4707
Mailing address
11215 Oak Leaf Dr Apt 708
Silver Spring, MD 20901-1370
Phone (617) 784-5860
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 |
|---|---|---|---|
| DN1858541 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 42 North Dental Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1821583303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 OAK LEAF DR APT 708",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011370",
"telephone_number": "617-784-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 BROADWAY",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019064707",
"telephone_number": "781-941-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDHI",
"first_name": "AVNI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.