Padmalatha Gottipati, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20374 Issued in FL

Practice address

13 Arbor Club Dr Unit 103
Ponte Vedra Beach, FL 32082-2615

Phone

(904) 993-4533

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (1 of 2)

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunshine Dentistry LLC

  • Dental Clinic/Center
  • Sanford, FL
  • NPI 1447841416
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1013340405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ARBOR CLUB DR UNIT 103",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822615",
            "telephone_number": "904-993-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ARBOR CLUB DR UNIT 103",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822615",
            "telephone_number": "904-993-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTIPATI",
        "first_name": "PADMALATHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane L Goldwater, M.D., PH.D.
• Gonstead Chiropractic Clinic of Jacksonville LLC
• Melissa Gopp-Warner, RDN
• Dawn Gordon
• Wayne Gordon, D.C.
• Ashley Mercer Green, BCBA
• Marilyn Greenfield
• Greenlyfe Nutrition, LLC
• Amy Lyn Grobstick, ARNP
• Jose Edir Guedes Filho, DDS

• General Practice Dentistry in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.