Nivedita Rudragoud Seerpi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29147 Issued in TX

Practice address

Brident Dental & Orthodontics
3331 Spencer Highway
Pasadena, TX 77504

Phone

(281) 668-5544

NPI assigned

Jun 8, 2011

Last updated

Oct 7, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brite Dental Kimball, P.C.

  • Dentist
  • Chicago, IL
  • NPI 1801140470
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1235423112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N HARBOR DR APT 2501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017362",
            "telephone_number": "919-482-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIDENT DENTAL & ORTHODONTICS",
            "address_2": "3331 SPENCER HIGHWAY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "281-668-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4714 N Kimball Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606255305",
            "country_code": "US",
            "telephone_number": "773-267-2672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEERPI",
        "first_name": "NIVEDITA",
        "middle_name": "RUDRAGOUD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028805",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pasadena, TX
• Providers in Pasadena, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.