NPIMap

Individual provider Active NPI

Sirisha Govindaiah, DDS

  • Pediatric Dentistry
  • Schertz, TX
National Provider Identifier
1144520156
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30238 Issued in TX
Practice address
1080 FM 3009
Schertz, TX 78154-2726
Phone
(210) 659-7884
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.028467 IL
Pediatric Dentistry 1223P0221X 30238 TX Primary

Addresses

Primary practice location

1080 FM 3009
Schertz, TX 78154-2726

Mailing address

1080 FM 3009
Schertz, TX 78154-2726

Other names 1

  • Sirisha Jupudy Former name

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

LicenseStateTypeSpecialty
019.028467ILMDGeneral Practice Dentistry
30238TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Esteban Velez, PA Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1144520156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 FM 3009",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 FM 3009",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542726",
            "telephone_number": "210-659-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVINDAIAH",
        "first_name": "SIRISHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028467",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "30238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIRISHA",
            "last_name": "JUPUDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.