Sridivya Kasinadhuni, B.D.S, M.S.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

38122 Issued in TX

Practice address

1780 S Friendswood Dr Ste a
Friendswood, TX 77546-5410

Phone

(312) 661-6202

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1154079788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22720 MORTON RANCH RD STE 160",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 S FRIENDSWOOD DR STE A",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465410",
            "telephone_number": "312-661-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASINADHUNI",
        "first_name": "SRIDIVYA",
        "name_prefix": "Dr.",
        "credential": "B.D.S, M.S.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "38122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.