Siddardha Chandrupatla, DDS MMSC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

33470 Issued in TX

Practice address

15132 Old Galveston Rd
Webster, TX 77598-1821

Phone

(281) 990-7462

NPI assigned

Nov 22, 2016

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Apex Physician Associates of Texas

  • Family Medicine Physician
  • Houston, TX
  • NPI 1174929186
  NPD

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1265975312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15132 OLD GALVESTON RD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981821",
            "telephone_number": "281-990-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15132 OLD GALVESTON RD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981821",
            "telephone_number": "281-990-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRUPATLA",
        "first_name": "SIDDARDHA",
        "name_prefix": "Dr.",
        "credential": "DDS MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33470",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33470",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL12935",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "33470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center of Reproductive Medicine, LLP
• Cesar Nahas MD PA
• Blake V Chamberlain, M.D.
• Chambers County Public Hospital District No 1 (Avir at Webster)
• Courtney Champagne, FNP-C
• Katisha Chaney
• Charlie Chih Lee Chang, M.D.
• Janice R. Chang, M.D.
• Vivianna Jaclynn Chapa, PA-C
• Chau M Vu M D P a

• Public Health Dentistry in Webster, TX
• Providers in Webster, TX by specialty
• Public Health Dentistry in Texas

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