Ivana Nandhavan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857848 Issued in MA

Practice address

106 Main St Ste 5
Stoneham, MA 02180-3362

Phone

(781) 438-1003

Fax

(781) 435-1996

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Nandhavan Dental P LLC

  • General Practice Dentistry
  • Stoneham, MA
  • NPI 1699313940
  NPD
• Kathleen Perkins, DMD, LLC

  • Dentist
  • Stoneham, MA
  • NPI 1619393014
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1851832091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MAIN ST STE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803362",
            "telephone_number": "781-438-1003",
            "fax_number": "781-435-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAIN ST STE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803362",
            "telephone_number": "781-438-1003",
            "fax_number": "781-435-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDHAVAN",
        "first_name": "IVANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• XI NA, M.D., PH.D.
• Kanta Nagpaul, M.D.
• Jane Namatovu
• Olivia Namubiru, LPN
• Nandhavan Dental P LLC
• Nappa Family Practice PC
• Salvatore M Nardello, D.O.
• David E. Nash, M.D.
• Ronald L Nath, M.D.
• Neal Bhojraj Naveen, MD

• General Practice Dentistry in Stoneham, MA
• Providers in Stoneham, 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 Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.