Shruti Mantravadi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1857623 Issued in MA

Practice address

260 E Central St
Franklin, MA 02038-1319

Phone

(508) 528-0200

NPI assigned

Jul 11, 2017

Last updated

Jul 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• True Smile Artisans LLC

  • Dental Clinic/Center
  • Marlborough, MA
  • NPI 1124826904
  NPD Authorized official
• Alpha Dental Center PC

  • General Practice Dentistry
  • Franklin, MA
  • NPI 1063623437
  NPD (past)
• Benefit Dental Care, LLC

  • General Practice Dentistry
  • Providence, RI
  • NPI 1154782290
  NPD (past)
• Robert L. Seinsky DMD

  • Dental Clinic/Center
  • Providence, RI
  • NPI 1689988602
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1851813984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WAYSIDE DR",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482815",
            "telephone_number": "347-463-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E CENTRAL ST",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381319",
            "telephone_number": "508-528-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTRAVADI",
        "first_name": "SHRUTI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "03345",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1857623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison John Mackenzie, D.M.D.
• Joanne R Macneil, PT
• Jennifer Jean Macneill, LCSW
• Lauren F Madden, RNC ANP MSN
• Melissa A Magnussen, PT
• Jordan Nicole Manzotti
• Lauren Marchand
• Erin Elizabeth Marion
• Mark Smyth DMD, LLC
• Rosemarie Marsh

• General Practice Dentistry in Franklin, MA
• Providers in Franklin, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.