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KALYAN CHAKRAVARTHY KONDREDDI DMD
NPI 1962001149
Dentist - General Practice in Medford, MA

Active since October 20, 2020

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2022, Oct 20, 2020 (2 updates tracked since 2020).

About Kalyan Chakravarthy Kondreddi Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALYAN CHAKRAVARTHY KONDREDDI DMD (NPI 1962001149) is an individual general practice provider in Medford, Massachusetts, licensed in Minnesota (D14496) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1962001149
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKALYAN CHAKRAVARTHY KONDREDDICredential: DMD
Location Address30 MAIN STMedford, MA 02155-7102
Mailing Address30 Main StMedford, MA 02155-7102 · (781) 391-2440
Phone(781) 391-2440
Sole ProprietorNo
Enumeration DateOctober 20, 2020
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1962001149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14496
Definition
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.
30 MAIN ST, Medford, MA 02155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDFORD SQUARE DENTISTRY AND IMPLANTS LLC
Clinic/Center (Dental)
30 MAIN ST
MEDFORD, MA 02155
Middlesex County (781) 391-2440
NANETTE DEMONTEVERDE, DMD, PC
Dentist (General Practice)
30 MAIN ST
MEDFORD, MA 02155
Middlesex County (781) 391-2440
DR. MEENAL KAUR DMD
Dentist (General Practice)
30 MAIN ST
MEDFORD, MA 02155
Middlesex County (781) 391-2440
DR. NANETTE CANERO DEMONTEVERDE DMD
Dentist (General Practice)
30 MAIN ST
MEDFORD, MA 02155
Middlesex County (781) 391-2440
APARNA S KALLAKURCHI DMD
Dentist
30 MAIN ST
MEDFORD, MA 02155
Middlesex County (781) 391-2440
RAM P YADAV
Dentist
30 MAIN ST
MEDFORD, MA 02155
Middlesex County (781) 391-2440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kalyan Kondreddi's NPI number?

The NPI number for Kalyan Kondreddi is 1962001149. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Kalyan Kondreddi located?

Kalyan Kondreddi practices at 30 Main St, Medford, MA 02155. The listed phone number is (781) 391-2440.

What is Kalyan Kondreddi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kalyan Kondreddi accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Kalyan Kondreddi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kalyan Kondreddi was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.