Organization Active NPI

Jeyasri Gunarajasingam DMD PC

  • Dental Clinic/Center
  • Chelsea, MA
National Provider Identifier
1851320097
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEYASRI GUNARAJASINGAM DMD PC
Practice address
100 Everett Ave
Unit 5 Dental Health Int
Chelsea, MA 02150
Phone
(617) 884-4444
Fax
(617) 884-4448
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Dr. Jeyasri Gunarajasingam, DMDNPI 1407885239
Title
Owner Dentist
Phone
(617) 884-4444

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Everett Ave
Unit 5 Dental Health Int
Chelsea, MA 02150

Mailing address

100 Everett Ave Ste 5
Chelsea, MA 02150-2328
Phone (617) 884-4444

Other identifiers 1

IdentifierTypeStateIssuer
9763791MedicaidMA

National Provider Directory

National Provider Directory

Locations

100 Everett Ave
Ste 5
Chelsea, MA 02150
Phone (617) 844-4444

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1851320097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE STE 5",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502328",
            "telephone_number": "617-884-4444",
            "fax_number": "617-466-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE",
            "address_2": "UNIT 5 DENTAL HEALTH INT",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "02150",
            "telephone_number": "617-884-4444",
            "fax_number": "617-884-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEYASRI GUNARAJASINGAM DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "GUNARAJASINGAM",
        "authorized_official_first_name": "JEYASRI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "617-884-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9763791",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.