Nisha Vasu Sridharan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901600602 Issued in MI

Practice address

2429 Ellsworth Rd
Ypsilanti, MI 48197-4853

Phone

(734) 434-0043

NPI assigned

Aug 19, 2020

Last updated

Sep 1, 2020By 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.

• Dental Dreams PLLC

  • General Practice Dentistry
  • Ypsilanti, MI
  • NPI 1124440391
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1073125258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23978 ARGYLE ST",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483744314",
            "telephone_number": "248-982-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 ELLSWORTH RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974853",
            "telephone_number": "734-434-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIDHARAN",
        "first_name": "NISHA",
        "middle_name": "VASU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Joy Springstead, MD
• Deborah Lee Squire, NP
• Bryan S Squires, MD
• Swetha Srialluri, MD
• Malorie Lyn Sridhar, MD
• Rahul Srivastava
• Sarah A Srour
• SSC Superior Township Operating Company LLC (Superior Woods Healthcare Center)
• Jennifer Ann St John, CHW
• St Joseph Mercy Chelsea Inc (Chelseacare Home Medical Equipment)

• Dentist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.