Active NPI
Sirisha Govindaiah, DDS
- Pediatric Dentistry
- Schertz, TX
National Provider Identifier
1144520156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30238
- Practice address
- 1080 FM 3009
Schertz, TX 78154-2726 - Phone
- (210) 659-7884
- NPI assigned
- Oct 25, 2010
- Last updated
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 019.028467 | IL | MD | General Practice Dentistry |
| 30238 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- Jodeci Gonzales
- Marlen Gonzalez Gonzalez, BCBA,MS
- Sara Julia Gonzalez, MA, BCBA
- Goodvalue Pharmacy LLC (Good Value Pharmacy)
- Sarah Eastman Gordon
- Alison Christine Graham, BCBA
- George Powell Gray, R.PH
- GRCC Holdings LTD (Silver Tree Nursing and Rehabilitation Center)
- Susan M Greco, NCC, LPC
- Jon C Greene, DDS
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.