Sarat Nalluri, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020901 Issued in OH

Practice address

7067 Tiffany Blvd Ste 260
Poland, OH 44514-1958

Phone

(330) 629-9021

Fax

(330) 965-9237

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarat.nalluri.p1@direct.oho.nextgenshare.com

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.

• Ohio North East Health Systems, Inc.

  • Community Health Clinic/Center
  • Youngstown, OH
  • NPI 1700917267

  General Practice

  Medicare reassignment NPD
• Sarat Nalluri, DDS, Inc.

  • General Practice Dentistry
  • Poland, OH
  • NPI 1508038712
  NPD (past) Authorized official
• Ohio North East Health Systems Inc

  dba Northside Dental Center

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1699236059

  General Practice

  NPD
• Ohio North East Health Systems, Inc.

  • Clinic/Center
  • Newton Falls, OH
  • NPI 1114478807

  General Practice

  NPD
• Ohio North East Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Warren, OH
  • NPI 1316935265

  General Practice

  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043316904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD STE 260",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141958",
            "telephone_number": "330-629-9021",
            "fax_number": "330-965-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD STE 260",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141958",
            "telephone_number": "330-629-9021",
            "fax_number": "330-965-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLURI",
        "first_name": "SARAT",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert John Moser, M.D.
• Mario Motha
• Megan Mulligan, PMHNP-BC
• Marietta Marie Murcko
• Danyall Myers
• Sandy P Naples, DO
• Hilmer O. Negrete, M.D.
• John J Netto Jr., RPH
• Willina Newberry
• Georgeann Noble

• General Practice Dentistry in Poland, OH
• Providers in Poland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.