Individual provider Active NPI

Nanarao Krothapalli, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Londonderry, NH
National Provider Identifier
1972666584
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
03380 Issued in NH
Practice address
25 Nashua Rd
Unit# D-3
Londonderry, NH 03053-3446
Phone
(603) 432-6430
NPI assigned
Dec 18, 2006
Last updated
Apr 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3380 NH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 03380 NH Primary

Addresses

Primary practice location

25 Nashua Rd
Unit# D-3
Londonderry, NH 03053-3446

Mailing address

25 Nashua Rd
Unit# D-3
Londonderry, NH 03053-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230505001315 NH Practitioner - Oral Surgery 5395100861
I20230926003849 OH Practitioner - Oral Surgery 5395100861 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3380NHMDDentist
03380NHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Krothapalli Dental Group Powell LLC CurrentSince May 12, 2023 Accepting new patients
Tri-Town Family Dental LLC CurrentSince Jan 19, 2023 Accepting new patients
Lynnwood Family Dental Dentist Current Accepting new patients
Krothapalli Dental Group Granville LLC Past Accepting new patients

Locations

50 Pinewood Rd
Allenstown, NH 03275
Phone (603) 485-7861

226 W Olentangy St
Powell, OH 43065
Phone (614) 764-8600

Organizations & group practices 9

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680912000000",
    "number": "1972666584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NASHUA RD",
            "address_2": "UNIT# D-3",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NASHUA RD",
            "address_2": "UNIT# D-3",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533446",
            "telephone_number": "603-432-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROTHAPALLI",
        "first_name": "NANARAO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-04-08",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "3380",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "03380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.