Individual provider Active NPI

Sirisha Pulapaka, DDS

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1023364510
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6969-15 Issued in WI
Practice address
9211 W Auer Ave
Milwaukee, WI 53222-3528
Phone
(414) 445-3670
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6969-15 WI Primary

Addresses

Primary practice location

9211 W Auer Ave
Milwaukee, WI 53222-3528

Mailing address

9211 W Auer Ave
Milwaukee, WI 53222-3528
Phone (414) 445-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6969-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ask Family Dentistry LLC CurrentSince Apr 25, 2021 Accepting new patients
Dental Experts, LLC General Practice Past Accepting new patients

Locations

9211 W Auer Ave
Milwaukee, WI 53222
Phone (414) 445-3670

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1023364510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 W AUER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223528",
            "telephone_number": "414-445-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 W AUER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223528",
            "telephone_number": "414-445-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULAPAKA",
        "first_name": "SIRISHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6969-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.