Active NPI
Shraddha Patel Kolappa, D.D.S.
- Pediatric Dentistry
- Cary, NC
National Provider Identifier
1376983718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9527
- Practice address
- 1000 Crescent Green Drive
Suite 200
Cary, NC 27518-3009 - Phone
- (919) 851-0011
- NPI assigned
- Jun 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 9527 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1000 Crescent Green Drive
Suite 200
Cary, NC 27518-3009
Mailing address
1000 Crescent Green Drive
Suite 200
Cary, NC 27518-4377
Phone (919) 851-0011
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 |
|---|---|---|---|
| 9527 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riccobene & Associates Xiii, DDS, P.a. | Pediatric Dentistry | Past | Accepting new patients |
| Shraddha P. Kolappa DDS PA | Pediatric Dentistry | 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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Clayton, NC
- NPI 1578032413
-
- Pediatric Dentistry
- Cary, NC
- NPI 1265778963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1376983718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CRESCENT GREEN DRIVE",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275184377",
"telephone_number": "919-851-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CRESCENT GREEN DRIVE",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275183009",
"telephone_number": "919-851-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLAPPA",
"first_name": "SHRADDHA",
"middle_name": "PATEL",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-30",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "9527",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.