Individual provider Active NPI

Swathi Uppu

  • Dentist
  • Chelsea, MA
National Provider Identifier
1922407865
Registry record updated Aug 16, 2014
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856687 Issued in MA
Practice address
373 Broadway
373
Chelsea, MA 02150-2809
Phone
(617) 887-0600
NPI assigned
Aug 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856687 MA Primary

Addresses

Primary practice location

373 Broadway
373
Chelsea, MA 02150-2809

Mailing address

184 Kennedy Dr
Apt 10
Malden, MA 02148-3402
Phone (740) 407-1345

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
I20160229001311 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133424153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856687MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1922407865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 KENNEDY DR",
            "address_2": "APT 10",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483402",
            "telephone_number": "740-407-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BROADWAY",
            "address_2": "373",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502809",
            "telephone_number": "617-887-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPU",
        "first_name": "SWATHI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.