Individual provider Active NPI

Amortheep Srikureja, DDS

  • Dentist
  • Palm Springs, CA
National Provider Identifier
1386316040
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106493 Issued in CA
Practice address
140 N Luring Dr Ste a
Palm Springs, CA 92262-6841
Phone
(760) 323-2771
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106493 CA Primary

Addresses

Primary practice location

140 N Luring Dr Ste a
Palm Springs, CA 92262-6841

Mailing address

12246 Montana Ave Apt 102
Los Angeles, CA 90049-5295
Phone (310) 663-1790

Other practice location 1

3158 W Ramsey St Ste B
Banning, CA 92220-3740
Phone (951) 849-8747

Other names 1

  • Joshua Srikureja Other name

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

LicenseStateTypeSpecialty
106493CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1386316040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12246 MONTANA AVE APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495295",
            "telephone_number": "310-663-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N LURING DR STE A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626841",
            "telephone_number": "760-323-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3158 W Ramsey St Ste B",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922203740",
            "country_code": "US",
            "telephone_number": "951-849-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIKUREJA",
        "first_name": "AMORTHEEP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "SRIKUREJA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.