NPIMap

Organization Active NPI

Siva S. Cherukuri DDS Inc

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1124093752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48245 Issued in CA
Legal business name
SIVA S. CHERUKURI DDS INC
Practice address
193 Arch St
Suite B-C
Redwood City, CA 94062-1343
Phone
(650) 369-4616
Fax
(650) 369-4622
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Siva S Cherukuri, DDSNPI 1538384870
Title
Director
Phone
(650) 369-4616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48245 CA Primary

Addresses

Primary practice location

193 Arch St
Suite B-C
Redwood City, CA 94062-1343

Mailing address

193 Arch St
Suite B-C
Redwood City, CA 94062-1343
Phone (650) 369-4616

National Provider Directory

National Provider Directory
Tax ID family
Siva S Cherukuri DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

193 Arch St
Ste Bc
Redwood City, CA 94062
Phone (650) 369-4616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124093752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 ARCH ST",
            "address_2": "SUITE B-C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621343",
            "telephone_number": "650-369-4616",
            "fax_number": "650-369-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 ARCH ST",
            "address_2": "SUITE B-C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621343",
            "telephone_number": "650-369-4616",
            "fax_number": "650-369-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVA S. CHERUKURI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERUKURI",
        "authorized_official_first_name": "SIVA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-369-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.