Individual provider Active NPI

Lakshmi P Thalanki, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • N. Cambridge, MA
National Provider Identifier
1962675603
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19674 Issued in MA
Practice address
182 Elm St North/Davis SQ
N. Cambridge, MA 02140-1302
Phone
(617) 625-1714
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19674 MA Primary

Addresses

Primary practice location

182 Elm St North/Davis SQ
N. Cambridge, MA 02140-1302

Mailing address

182 Elm St North/Davis SQ
N. Cambridge, MA 02140-1302
Phone (617) 625-1714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19674MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Orthodontics of Cambridge Orthodontics and Dentofacial Orthopedics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1962675603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 ELM ST NORTH/DAVIS SQ",
            "city": "N. CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401302",
            "telephone_number": "617-625-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 ELM ST NORTH/DAVIS SQ",
            "city": "N. CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401302",
            "telephone_number": "617-625-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALANKI",
        "first_name": "LAKSHMI",
        "middle_name": "P",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "19674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N. Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.