Active NPI
Pridhvi Gadiraju, DDS
- Dentist
- Rocky Mount, NC
National Provider Identifier
1114816477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14292
- Practice address
- 165 Kandemor LN
Rocky Mount, NC 27804-3212 - Phone
- (252) 443-6443
- NPI assigned
- Jul 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14292 | NC | Primary |
Addresses
Primary practice location
165 Kandemor LN
Rocky Mount, NC 27804-3212
Mailing address
1013 Grogans Mill Dr
Cary, NC 27519-7193
Phone (571) 340-4920
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14292 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debra Zombek, D.D.S., P.a. | Dentist | Current | Accepting new patients |
| K. Jasinski, D.M.D., P.C. | Current | Accepting new patients |
Locations
165 Kandemor Ln
Rocky Mount, NC 27804
Phone (252) 443-6443
Organizations & group practices 2
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.
-
- Dentist
- Rocky Mount, NC
- NPI 1457559619
-
- General Practice Dentistry
- Rocky Mount, NC
- NPI 1235780628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1114816477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 GROGANS MILL DR",
"city": "CARY",
"state": "NC",
"postal_code": "275197193",
"telephone_number": "571-340-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 KANDEMOR LN",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043212",
"telephone_number": "252-443-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADIRAJU",
"first_name": "PRIDHVI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "14292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.