Shireesha Kichili, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27636 Issued in TX

Practice address

6300 West Loop South
Suite 650
Bellaire, TX 77401

Phone

(713) 663-7960

NPI assigned

Dec 2, 2011

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

Enrolled in TX

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

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1063780229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 DESEO APT 262",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393014",
            "telephone_number": "310-227-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP SOUTH",
            "address_2": "SUITE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-663-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICHILI",
        "first_name": "SHIREESHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shifat Jabeen Khan, FNP-C
• Aida Zarina Khanum, M.D., M.P.H.
• Aasit N Kheperu
• Rita Beatrice Khouri
• Danny Toan Khuu
• Kidney Care Center of Houston
• Angela J. Kim, MD
• Sharon E Kim
• Maya Kimmel
• Arash Kimyai-Asadi, M.D.

• General Practice Dentistry in Bellaire, TX
• Providers in Bellaire, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.