Active NPI
Srilatha Dosapati
- Dentist
- Waterbury, CT
National Provider Identifier
1013393909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2.011459
- Practice address
- 155 Thomaston Ave
Waterbury, CT 06702-1020 - Phone
- (203) 575-9944
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2.011459 | CT | Primary |
Addresses
Primary practice location
155 Thomaston Ave
Waterbury, CT 06702-1020
Mailing address
31 Pinewood Cir
Danbury, CT 06810-7605
Phone (203) 482-8041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160519000636 | CT | Order and Referring Only - Dentist | 7719276484 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11459 | CT | MD | Clinical Social Worker |
| 2.011459 | CT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivory Dental PLLC | Current | Accepting new patients | |
| Dr. Dental of Connecticut, PC | Past | Accepting new patients | |
| Hamden Plaza Family Dental, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Milford, CT
- NPI 1225987399
-
- General Practice Dentistry
- Stratford, CT
- NPI 1407182033
-
- Dental Clinic/Center
- Waterbury, CT
- NPI 1588388268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1013393909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 PINEWOOD CIR",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107605",
"telephone_number": "203-482-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 THOMASTON AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021020",
"telephone_number": "203-575-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSAPATI",
"first_name": "SRILATHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "2.011459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.