Os Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OS DENTAL LLC

Practice address

155 Dow St Ste 401
Manchester, NH 03101-3200

Phone

(603) 622-6073

NPI assigned

Sep 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Suman Reddivari, D.M.DNPI 1033347588

Title

Dentist/ Manager/ Owner

Phone

(781) 552-1567

Specialties & licenses 1

Addresses

Other names 1

• Manchester Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suman Reddivari, D.M.D

  • General Practice Dentistry
  • Concord, NH
  • NPI 1033347588
  NPD Authorized official

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1972273092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EASY ST",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871579",
            "telephone_number": "781-552-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DOW ST STE 401",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031013200",
            "telephone_number": "603-622-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "REDDIVARI",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "DENTIST/ MANAGER/ OWNER",
        "authorized_official_telephone_number": "781-552-1567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchester Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oral Healthcare@Home, Inc.
• Orthocare Medical Equipment, LLC
• Jesika Ortiz Bueno, LCMHC
• Angelica Damaris Ortiz
• Carol Ann Orze, M.S.
• Everline Osanya, NP-C
• Samantha Oslin, NP
• Muktar A Osman
• Kelly Osses
• Patricia Ostrouch

• General Practice Dentistry in Manchester, NH
• Providers in Manchester, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.