Jayashree Srinivasan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5266 Issued in AZ

Practice address

7420 S Rural Rd Ste B5
Tempe, AZ 85283-4655

Phone

(480) 838-1044

Fax

(480) 838-6109

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Toothplace PC

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1871227488
  NPD Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1043424310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 S RURAL RD STE B5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834655",
            "telephone_number": "480-838-1044",
            "fax_number": "480-838-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 S RURAL RD STE B5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834655",
            "telephone_number": "480-838-1044",
            "fax_number": "480-838-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "JAYASHREE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sport and Spine Chiropractic PLLC
• Linda Faye Squalls
• Squaw Peak Anesthesia Inc
• Paul Singh Sraow, M.D.
• Anitha Sreeni, NP-C
• Ssa
• St Lukes Medical Center LP
• St Marks Medical
• Robert Bruce St Pierre, M.A. EDUC. COUNSELIN
• St Walter Group Home LLC

• General Practice Dentistry in Tempe, AZ
• Providers in Tempe, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.