Active NPI
Venkata Naveen Cherukuri, DDS
- General Practice Dentistry
- Harrisburg, NC
National Provider Identifier
1215240452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10368
- Practice address
- 4310 Physicians Blvd
Harrisburg, NC 28075-7404 - Phone
- (980) 258-0866
- NPI assigned
- Jul 16, 2010
- Last updated
- Apr 6, 2020
- Sex
- Male
- 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 | 10368 | NC | Primary |
| General Practice Dentistry | 1223G0001X | DE60164484 | WA |
Addresses
Primary practice location
4310 Physicians Blvd
Harrisburg, NC 28075-7404
Mailing address
4310 Physicians Blvd
Harrisburg, NC 28075-7404
Phone (980) 258-0866
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 |
|---|---|---|---|
| DE60164484 | WA | MD | General Practice Dentistry |
| 10368 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherukuri V., D.D.S., P.L.L.C. | General Practice | Current | Accepting new patients |
Locations
4310 Physicians Blvd
Harrisburg, NC 28075
Phone (704) 454-5135
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.
-
dba Harrisburg Smiles
- General Practice Dentistry
- Harrisburg, NC
- NPI 1417469164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1215240452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 PHYSICIANS BLVD",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280757404",
"telephone_number": "980-258-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 PHYSICIANS BLVD",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280757404",
"telephone_number": "980-258-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERUKURI",
"first_name": "VENKATA",
"middle_name": "NAVEEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10368",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60164484",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, NC
- Reid L Chaney, DMD
- Amy Catherine Chapman, FNP-BC
- Adam Chase, DC
- Cherish Counseling & Consultation, PLLC.
- Cherukuri V., D.D.S., P.L.L.C. (Harrisburg Smiles)
- Clarke Community Care LLC
- CMC-Northeast, Inc. (NorthEast Endocrinology - Harrisburg)
- CMC-Northeast, Inc. (Rocky River Pediatrics)
- Jessica Patricia Cole, PHARMD
- Cody Collins, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.