Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

My Dental Revere PC

Q: What type of organization is My Dental Revere PC?

My Dental Revere PC is registered in NPPES as a Dentist (its primary provider taxonomy).

Dentist in Saugus, MA · enumerated 2016 · authorized official Srinivas Desaneedi, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053765412

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Registry record

Entity type Organization (Type 2)

Legal business name My Dental Revere PC

Practice address 1401 Rock Wood Dr, Saugus, MA, 01906

Phone (740) 215-8549

Enumeration date Apr 21, 2016

Last updated in NPPES Apr 21, 2016

Taxonomy & classification

122300000X Dentist Dental Providers · License DN22184 (MA) Primary

Authorized official

Name Srinivas Desaneedi

Title Owner

Phone (740) 215-8549

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is My Dental Revere PC?

My Dental Revere PC is registered in NPPES as a Dentist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-21.