DR. SIDDARDHA CHANDRUPATLA (NPI# 1265975312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265975312 |
| Entity Type | Individual |
| Full Name | DR. SIDDARDHA CHANDRUPATLA |
| Credential | BDS |
| Practice Address |
637 Washington St Depatrtment of Dentistry Boston MA 02124-3510 |
| Practice Telephone | 6178259660 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2017-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
33470 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DL12935 | MA | Dental Providers |
| Street Address |
637 WASHINGTON ST DEPATRTMENT OF DENTISTRY |
| City | BOSTON |
| State | MA |
| Zip Code | 02124-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941548 | Joseph Maglio | Physician Assistant | 637 Washington St, Boston, MA 02124-3510 | 2020-08-03 |
| 1427677947 | Weihao Wang | Student in an Organized Health Care Education/Training Program | 637 Washington St, Boston, MA 02124-3510 | 2020-04-14 |
| 1295362192 | Stephanie Melissa Otten Adcock | Student in an Organized Health Care Education/Training Program | 637 Washington St, Boston, MA 02124-3510 | 2020-03-23 |
| 1891320933 | Angie Ng | Social Worker | 637 Washington St, Boston, MA 02124-3510 | 2020-03-09 |
| 1104483338 | Burke Lieppman | Optometrist | 637 Washington St, Boston, MA 02124-3510 | 2019-05-22 |
| 1083177901 | Jahna Knobler | Nurse Practitioner | 637 Washington St, Boston, MA 02124-3510 | 2019-04-08 |
| 1093275273 | Ryan J Narciso | Family Medicine | 637 Washington St, Boston, MA 02124-3510 | 2019-03-22 |
| 1831553080 | Khai-el Johnson | Family Medicine | 637 Washington St, Codman Square Health Center, Boston, MA 02124-3510 | 2016-04-13 |
| 1134527815 | Alexandra Koopman Smith | Registered Nurse | 637 Washington St, Boston, MA 02124-3510 | 2014-12-12 |
| 1497157119 | Afsaneh S. Lomax | Nurse Practitioner | 637 Washington St, Boston, MA 02124-3510 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
| 1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
| 1225655152 | Qian Lin | Dentist | 151 Tremont St Apt 9s, Boston, MA 02111-1145 | 2020-06-26 |
| 1982225223 | Stephanie Mccarthy Brooks | Dentist | 63 Rutland St Apt 2, Boston, MA 02118-1586 | 2020-04-28 |
| 1922656008 | Amro Ehsan Moharem | Dentist | 888 Washington St Apt 204, Boston, MA 02111-1434 | 2019-08-31 |
| 1104486521 | Christine Chiao | Dentist | 691 Massachusetts Ave Unit 404, Boston, MA 02118-4079 | 2019-06-18 |
| 1912466988 | Kathleen Murphy | Dentist | 75 Chestnut St Apt 22, Boston, MA 02108-1137 | 2019-03-18 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1508347717 | Omar Alani | Dentist | 100 E Newton St Dept Of, Boston, MA 02118-2308 | 2018-08-25 |
| 1912490822 | Mikenah Joy Vega | Dentist | 231 Harrison Ave Apt 16, Boston, MA 02111-1857 | 2018-06-14 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on DR. SIDDARDHA CHANDRUPATLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.