Sudha M Edpuganti

Primary specialty

DentistTaxonomy code 122300000X

License

11112 Issued in NC

Practice address

8020 Northlake Creek Dr Ste B
Charlotte, NC 28216-4487

Phone

(704) 264-1441

NPI assigned

Jul 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Sudha M Edpuganti DDS PLLC

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1649045527

  General Practice

  NPD Authorized official
• Alagic DMD Charlotte Northlake, PC

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1053255182

  General Practice

  NPD (past)
• Dr. P.L. Jeffries and Associates, PA

  • Pediatric Dentistry
  • Monroe, NC
  • NPI 1366682361
  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1215423819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 GRAND OAK DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730346",
            "telephone_number": "980-226-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 NORTHLAKE CREEK DR STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164487",
            "telephone_number": "704-264-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDPUGANTI",
        "first_name": "SUDHA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9273",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Briggs Edmunds
• Marian Edmunds
• Arina Edmundson, MA, LPA
• Emmanuel O Edosomwan-Eigbe, MD
• Kevin Cliff Edouard, LCSW
• Janet L Edsell, SLP
• Educare Community Living Corporation - North Carolina
• Educare Community Living Corporation - North Carolina
• Educare Community Living Corporation - North Carolina
• Educare Community Living Corporation - North Carolina

• All providers in Charlotte, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.