Krishna Siddharth Mehta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859472 Issued in MA

Practice address

230 Rhode Island Ave
Fall River, MA 02724-3525

Phone

(508) 646-9600

NPI assigned

May 3, 2022

Last updated

Oct 17, 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 3

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.

• Alpha Dental Center of Fall River, LLC

  • General Practice Dentistry
  • Fall River, MA
  • NPI 1073721114
  NPD (past)

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1952046955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARK ST UNIT 21",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027601266",
            "telephone_number": "224-656-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 RHODE ISLAND AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027243525",
            "telephone_number": "508-646-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KRISHNA",
        "middle_name": "SIDDHARTH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03610",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859472",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Drug Testing Lab
• Medical Drug Testing Lab
• Medical Oncologists of St. Anne's Hospital
• Medsource, Inc
• Katherine Kelly Meehan
• Sandra Melanson, MSW, LICSW
• Melissa Santos LMHC Inc
• Alicia Mello
• Courtney Mello
• Dina Paiva Mello, NP

• Dentist in Fall River, MA
• Providers in Fall River, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.