Soumya Kavuluri

Primary specialty

DentistTaxonomy code 122300000X

License

DN29226 Issued in FL

Practice address

5837 Seven Mile Dr
Wildwood, FL 34785-8852

Phone

(352) 571-1978

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By the provider in NPPES

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

State licenses

Practice roles

Locations

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.

• Comfortable Care Dental Health Professionals, P.a.

  dba Trailwinds Dental Care

  • General Practice Dentistry
  • Wildwood, FL
  • NPI 1174157275
  NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1184469835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5837 SEVEN MILE DR",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5837 SEVEN MILE DR",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858852",
            "telephone_number": "352-571-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVULURI",
        "first_name": "SOUMYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen W. Jones, ARNP
• Tonya Marie Jones, M.A.
• Karen L. Judd, PHD,CISW
• Daniel Kan, MD
• Erika Song Kang
• Jordan Brent Kennedy, DMD
• Kids Central, Inc.
• Judith Eun Kim
• Stephanie Kitos, APRN FNP-BC
• Kuhn Chiropractic PA

• Dentist in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.