Sridhar Krishna Chinta, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015980 Issued in GA

Practice address

3429 Lawrenceville Suwanee Rd Ste E-F
Suwanee, GA 30024-2433

Phone

(678) 765-9133

NPI assigned

Jun 27, 2014

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Krishaan Dental Consultancy LLC

  dba Suwanee Smiles

  • General Practice Dentistry
  • Suwanee, GA
  • NPI 1013640671
  NPD Authorized official

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1134534266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 THOROUGHBRED WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242144",
            "telephone_number": "817-718-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 LAWRENCEVILLE SUWANEE RD STE E-F",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242433",
            "telephone_number": "678-765-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINTA",
        "first_name": "SRIDHAR",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30188",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Clarke Cherry
• Yves R Chery, NP
• Meena Meyyappan Chetty
• Jagan Chilakamarri, MD
• Elizabeth Grace Childers
• Daniel Woohyun Cho, D.M.D.
• Joseph Cho
• Jung A Cho, OPTICIAN
• Young J Cho
• Jane Choe-Dobias, PT

• General Practice Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.