Active NPI
Ushakiran Mupparaju, D.D.S
- Dentist
- Largo, FL
National Provider Identifier
1174835458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20241
- Practice address
- 2320 W Bay Dr
Largo, FL 33770-1975 - Phone
- (727) 581-3726
- NPI assigned
- Jul 2, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20241 | FL | Primary |
Addresses
Primary practice location
2320 W Bay Dr
Largo, FL 33770-1975
Mailing address
2681 Roosevelt Blvd
Apt 3203
Clearwater, FL 33760-2962
Phone (813) 449-3933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170306002726 | FL | Order and Referring Only - Other (Physician) | 8628352846 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1174835458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2681 ROOSEVELT BLVD",
"address_2": "APT 3203",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337602962",
"telephone_number": "813-449-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 W BAY DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337701975",
"telephone_number": "727-581-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUPPARAJU",
"first_name": "USHAKIRAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN20241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.