Venkata Siva Reddy Guvva, BDS,PROSTHODONTICS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

2020036528 Issued in MO

Practice address

3306 Emerald LN
Jefferson City, MO 65109-6880

Phone

(573) 634-2222

NPI assigned

Jul 13, 2019

Sex

Male

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 and National Provider Directory roles.

• Columbia Surgical Prosthodontics LLC

  • Dental Clinic/Center
  • Columbia, MO
  • NPI 1629896758
  NPD Authorized official
• Esthetic Dental Implants Studio LLC

  • Dentist
  • Independence, MO
  • NPI 1851135875
  NPD Authorized official
• Dental Associates LTD of Wisconsin

  • Endodontics
  • Wauwatosa, WI
  • NPI 1518266998

  Prosthodontics

  NPD (past)
• Stat Anesthesia Specialists, LTD.

  • Anesthesiology Physician
  • Bremen, IN
  • NPI 1992754089
  NPD (past)

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1265084875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 BRIARMONT AVE APT 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013680",
            "telephone_number": "419-819-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 EMERALD LN",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096880",
            "telephone_number": "573-634-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUVVA",
        "first_name": "VENKATA",
        "middle_name": "SIVA REDDY",
        "name_prefix": "Dr.",
        "credential": "BDS,PROSTHODONTICS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-13",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MO",
            "license": "2020036528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly L Gudehus, FNP
• Christina Louise Guerrero
• Deborah J Gullic, PT, LAT, ATC
• Victoria Gunn, M.D.
• Kristina Gupta
• Cynthia L Hackathorn, PH.D.
• Shadi Maher Haddadin, MD
• Akosua Serwaa Hagan, APRN, RN
• Jason Scott Hagely, M.D.
• Lindsey Hagerman

• Prosthodontics in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Prosthodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.