Active NPI
Bhavani D Sriramaneni, DMD
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1275727463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34111
- Practice address
- 2305 W William Cannon Dr
Austin, TX 78745-5319 - Phone
- (512) 444-3494
- Fax
- (512) 444-3864
- NPI assigned
- Aug 30, 2007
- Last updated
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34111 | TX | Primary |
Addresses
Primary practice location
2305 W William Cannon Dr
Austin, TX 78745-5319
Mailing address
2305 W William Cannon Dr
Austin, TX 78745-5319
Phone (512) 444-3494
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 |
|---|---|---|---|
| 34111 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhavani Sriramaneni DMD PC | General Practice | Past | Accepting new patients |
| Simons Family Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1275727463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 W WILLIAM CANNON DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455319",
"telephone_number": "512-444-3494",
"fax_number": "512-444-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 W WILLIAM CANNON DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455319",
"telephone_number": "512-444-3494",
"fax_number": "512-444-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIRAMANENI",
"first_name": "BHAVANI",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.