Siriravali Dental Care PC

Primary specialty

DentistTaxonomy code 122300000X

License

043628 Issued in NY

Legal business name

SIRIRAVALI DENTAL CARE PC

Practice address

3912 State Highway 30
Amsterdam, NY 12010-6508

Phone

(518) 883-4505

Fax

(518) 883-3228

NPI assigned

Jul 30, 2015

Organization subpart

Yes

Parent organization

SIRIRAVALI DENTAL CARE PCAs reported in NPPES

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

Authorized official

Name

Dr. Sreedevi MandavaNPI 1275652414

Title

General Dentist

Phone

(518) 883-4505

Specialties & licenses 1

Addresses

Tax ID family

Siriravali Dental Care PC2 organizations share this tax ID, including this one

Part of

Siriravali Dental Care PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Excel Dental Care, P.C.

  • General Practice Dentistry
  • Albany, NY
  • NPI 1417113382
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sreedevi Mandava, D.D.S.

  • Dentist
  • Amsterdam, NY
  • NPI 1275652414
  NPD (past) Authorized official

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1366827461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120106508",
            "telephone_number": "518-883-4505",
            "fax_number": "518-883-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120106508",
            "telephone_number": "518-883-4505",
            "fax_number": "518-883-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIRAVALI DENTAL CARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIRIRAVALI DENTAL CARE PC",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "MANDAVA",
        "authorized_official_first_name": "SREEDEVI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "518-883-4505",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Silveira, MS OTR/L
• Rachel Simkins
• Kristie Simonds, M.S., CCC-SLP
• Stephen Singer
• Alyson M Siragusa, PA-C
• Luanne Sitterly, RPH.
• Karyn Skrlj
• Courtney Slentz
• Dennis C. Small, PA-C
• Alexa Madison Smalls

• Dentist in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.