Sunitha R Madasu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4802 Issued in AL

Practice address

1845 Darby Dr
Florence, AL 35630-2622

Phone

(256) 767-7600

Fax

(256) 767-0490

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coker Family Dentistry LLC

  • General Practice Dentistry
  • Florence, AL
  • NPI 1164605390
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063596252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 DARBY DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302622",
            "telephone_number": "256-767-7600",
            "fax_number": "256-767-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 DARBY DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302622",
            "telephone_number": "256-767-7600",
            "fax_number": "256-767-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADASU",
        "first_name": "SUNITHA",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Luttrell, OTR/L
• Daniel Augusta Lyles
• Lynn McLean, Ma, LPC, LLC
• Dana Coats Mabry
• Christopher Maccord, MD
• Pranav Mahajan, MD
• Laura Coston Mahan, DMD
• Rashid Ashraf Mohamed Abdel Mahrous
• Hamza Malik, MD
• Sara Malik, MD

• General Practice Dentistry in Florence, AL
• Providers in Florence, AL by specialty
• General Practice Dentistry in Alabama

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.