Individual provider Active NPI

Chitra Tiruveedula, BDS,DDS

  • General Practice Dentistry
  • Aliso Viejo, CA
National Provider Identifier
1043485287
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64482 Issued in CA
Practice address
26831 Aliso Creek Rd Ste 202
Aliso Viejo, CA 92656-5341
Phone
(949) 289-9993
Fax
(949) 362-8525
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12276 MN
General Practice Dentistry 1223G0001X RES.2595 OH
General Practice Dentistry 1223G0001X 64482 CA Primary

Addresses

Primary practice location

26831 Aliso Creek Rd Ste 202
Aliso Viejo, CA 92656-5341

Mailing address

26831 Aliso Creek Rd Ste 202
Aliso Viejo, CA 92656-5341
Phone (216) 548-6543

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
D12276MNMDGeneral Practice Dentistry
RES.2595OHMDGeneral Practice Dentistry
64482CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chitra Tiruveedula,DDS a Professional Dental Corp CurrentSince Nov 8, 2025 Accepting new patients

Locations

26831 Aliso Creek Rd
Ste 202
Aliso Viejo, CA 92656
Phone (949) 289-9993

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1043485287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26831 ALISO CREEK RD STE 202",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565341",
            "telephone_number": "216-548-6543",
            "fax_number": "949-362-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26831 ALISO CREEK RD STE 202",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565341",
            "telephone_number": "949-289-9993",
            "fax_number": "949-362-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRUVEEDULA",
        "first_name": "CHITRA",
        "name_prefix": "Dr.",
        "credential": "BDS,DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12276",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "RES.2595",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.