NPIMap

Organization Active NPI

Lynnwood Family Dental

  • Dentist
  • Lynnfield, MA
National Provider Identifier
1841661212
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LYNNWOOD FAMILY DENTAL
Practice address
15 Post Office SQ
Lynnfield, MA 01940-2218
Phone
(781) 592-1650
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Dr. Nanarao Krothapalli, DMDNPI 1972666584
Title
Dentist
Phone
(617) 223-1652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15 Post Office SQ
Lynnfield, MA 01940-2218

Mailing address

15 Post Office SQ
Lynnfield, MA 01940-2218
Phone (781) 592-1650

National Provider Directory

National Provider Directory

Locations

15 Post Office Sq
Lynnfield, MA 01940
Phone (781) 592-1650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1841661212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 POST OFFICE SQ",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402218",
            "telephone_number": "781-592-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 POST OFFICE SQ",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402218",
            "telephone_number": "781-592-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNWOOD FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "KROTHAPALLI",
        "authorized_official_first_name": "NANARAO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-223-1652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.