Individual provider Active NPI

Gayathri Snell, DDS

  • General Practice Dentistry
  • Bedford, MA
National Provider Identifier
1871528877
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19730 Issued in MA
Practice address
363 Great Rd
#205
Bedford, MA 01730-2800
Phone
(781) 275-2157
Fax
(781) 275-2158
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19730 MA Primary

Addresses

Primary practice location

363 Great Rd
#205
Bedford, MA 01730-2800

Mailing address

363 Great Rd
#205
Bedford, MA 01730-2800
Phone (781) 275-2157

Other identifiers 1

IdentifierTypeStateIssuer
9763660MedicaidMA

Other names 1

  • Dr. Gayathri Meadows Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20161024000380 MA Order and Referring Only - DentistPractitioner - Dentist 4183923840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19730MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Dental Care Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1871528877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 GREAT RD",
            "address_2": "#205",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302800",
            "telephone_number": "781-275-2157",
            "fax_number": "781-275-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 GREAT RD",
            "address_2": "#205",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302800",
            "telephone_number": "781-275-2157",
            "fax_number": "781-275-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELL",
        "first_name": "GAYATHRI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9763660",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYATHRI",
            "last_name": "MEADOWS",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.