Meera Subramaniam, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21340 Issued in MA

Practice address

1037A Beacon St
Brookline, MA 02446-5609

Phone

(617) 232-1515

NPI assigned

Jan 31, 2007

Last updated

Aug 3, 2023By 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

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

Medicare enrollment (NPD)

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.

• 42 North Dental Care, LLC

  dba Gentle Dental Brookline

  • Dental Clinic/Center
  • Brookline, MA
  • NPI 1710256805
  NPD (past)
• Pure Dental PC

  • Dentist
  • Jamaica Plain, MA
  • NPI 1225326416
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1932246667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037A BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465609",
            "telephone_number": "617-232-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037A BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465609",
            "telephone_number": "617-232-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3531 Washington St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021305241",
            "country_code": "US",
            "telephone_number": "617-524-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBRAMANIAM",
        "first_name": "MEERA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37072",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa R. Strauss, PH.D.
• Nan D Stromberg, APRN, BC
• Linda A Stubblefield, M.S.W.
• Aaron Christopher Styles, L.M.T.
• Mingfang Su, DMD
• Kathleen Sugrue, LMHC, CADAC
• Junghan Suh
• Elena Sullivan, PA-C
• Cara Sullo, CCC-SLP
• Dyanna C Sun, NURSE PRACTITIONER

• General Practice Dentistry in Brookline, MA
• Providers in Brookline, 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 Aug 3, 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.