Active NPI
Ram P Yadav
- Dentist
- Medford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858824
- Practice address
- 30 Main St
Medford, MA 02155-7102 - Phone
- (781) 391-2440
- NPI assigned
- Sep 2, 2020
- Last updated
- Oct 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | ||
| Dentist | 122300000X | DN1858824 | MA | Primary |
Addresses
Primary practice location
30 Main St
Medford, MA 02155-7102
Mailing address
20 Summer St Apt 903
Malden, MA 02148-3914
Phone (573) 639-0497
Other practice location 1
Boston University Henry M. Goldman School of Dental Med
635 Albany St
Boston, MA 02118
Phone (617) 358-8300
Other practice location 2
290 Ferry St
Malden, MA 02148-7114
Phone (573) 639-0497
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ramyadav@bu.edu | Boston University Henry M. Goldman school of Dental Medicine | |
| Direct Messaging Address | ramyadav@bu.edu |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858824 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medford Square Dentistry and Implants LLC | Current | Accepting new patients | |
| Needham Dentistry & Implants PC | Current | Accepting new patients | |
| Unident Dental Group LLC | Current | Accepting new patients | |
| Taunton Dentistry & Implants PC | Current | Accepting new patients | |
| Malden Dentistry & Implants PC | Past | Accepting new patients | |
| Nanette Demonteverde, DMD, PC | Past | Accepting new patients | |
| First Commonwealth Dental LLC | Past | Accepting new patients |
Locations
30 Main St
Medford, MA 02155
Phone (781) 391-2440
Organizations & group practices 10
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.
-
- Dental Clinic/Center
- Medford, MA
- NPI 1295400588
-
- Dental Clinic/Center
- Needham, MA
- NPI 1346947660
-
- Dental Clinic/Center
- Taunton, MA
- NPI 1629775945
-
- Public Health Dentistry
- East Walpole, MA
- NPI 1427628288
-
dba Southbridge Dentistry & Implants
- Dental Clinic/Center
- Southbridge, MA
- NPI 1164256251
-
dba Palmer Dentistry and Implants
- Dental Clinic/Center
- Palmer, MA
- NPI 1346031754
-
dba Malden Cosmetic Dentistry and Implants
- Dental Clinic/Center
- Malden, MA
- NPI 1841070141
-
- Dental Clinic/Center
- Malden, MA
- NPI 1164111944
-
dba Century Family Dental
- Dental Clinic/Center
- Westborough, MA
- NPI 1518725761
-
- General Practice Dentistry
- Medford, MA
- NPI 1346463973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1972117414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SUMMER ST APT 903",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483914",
"telephone_number": "573-639-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MAIN ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021557102",
"telephone_number": "781-391-2440"
}
],
"practiceLocations": [
{
"address_1": "Boston University Henry M. Goldman School of Dental Med",
"address_2": "635 Albany St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-358-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "290 Ferry St",
"address_purpose": "LOCATION",
"city": "Malden",
"state": "MA",
"postal_code": "021487114",
"country_code": "US",
"telephone_number": "573-639-0497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YADAV",
"first_name": "RAM",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858824",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ramyadav@bu.edu",
"affiliation": "Y",
"endpointDescription": "email address",
"affiliationName": "Boston University Henry M. Goldman school of Dental Medicine",
"address_1": "Boston University Henry M. Goldman School of Dental Med",
"address_2": "635 Albany St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "02118",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ramyadav@bu.edu",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "578 Main St # 101",
"city": "Malden",
"state": "MA",
"country_code": "US",
"postal_code": "021483900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.