Dr. Suresh K Naidu DDS
Dr. Suresh K Naidu DDS is a healthcare organization registered as Dentist in Roxbury, MA, holding Type 2 (organization) NPI 1417117987 since 2008. The authorized official on file is Suresh Naidu, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417117987 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dr. Suresh K Naidu DDS |
| Practice address | 156 DUDLEY ST, Roxbury, MA, 02119 |
| Phone | 6174457050 |
| Enumeration date | 2008-06-09 |
| Last updated in NPPES | 2008-06-09 |
Authorized official
| Name | Suresh Naidu |
|---|---|
| Title | Owner |
| Phone | 6174457050 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 13632 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0253049 | Medicaid | MA | — |
Copy-ready billing details
Provider: Dr. Suresh K Naidu DDS NPI: 1417117987 Taxonomy: 122300000X (Dentist) Address: 156 DUDLEY ST, Roxbury, MA, 02119
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922154301 | Suresh Naidu | Individual | Dentist | Roxbury, MA |
| 1366018657 | Eung Jun Im | Individual | Dentist | Roxbury, MA |
| 1174243042 | Hugo & Tate PC | Organization | Dental Clinic/Center | Roxbury, MA |
Verify this record
Cross-check NPI 1417117987 against the authoritative CMS record: view Dr. Suresh K Naidu DDS on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Dr. Suresh K Naidu DDS?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-09.