Individual provider Active NPI

Ravichandra Juluri, D.D.S.,M.S.

  • Periodontics
  • Nashville, TN
National Provider Identifier
1114156981
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
8930 Issued in TN
Practice address
1005 Dr. D. B. Todd Jr. Blvd
Periodontics
Nashville, TN 37208-3599
Phone
(615) 327-6014
Fax
(615) 327-6246
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 8930 TN Primary
Periodontics 1223P0300X 0401412308 VA

Addresses

Primary practice location

1005 Dr. D. B. Todd Jr. Blvd
Periodontics
Nashville, TN 37208-3599

Mailing address

705 Hillmeade Dr
Nashville, TN 37221-2262
Phone (646) 238-6196

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8930TNMDPeriodontist
0401412308VAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1114156981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 HILLMEADE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212262",
            "telephone_number": "646-238-6196",
            "fax_number": "615-327-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR. D. B. TODD JR. BLVD",
            "address_2": "PERIODONTICS",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083599",
            "telephone_number": "615-327-6014",
            "fax_number": "615-327-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULURI",
        "first_name": "RAVICHANDRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "8930",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401412308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.