Neelima Chiru, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019025625 Issued in IL

Practice address

2260 Northlake Pkwy
Suite 220
Tucker, GA 30084-4036

Phone

(770) 492-0250

Fax

(770) 492-0750

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Neelima Bandarupalli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1386861904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 NORTHLAKE PARKWAY",
            "address_2": "SUITE 220",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "770-492-0250",
            "fax_number": "770-492-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 NORTHLAKE PKWY",
            "address_2": "SUITE 220",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844036",
            "telephone_number": "770-492-0250",
            "fax_number": "770-492-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRU",
        "first_name": "NEELIMA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEELIMA",
            "last_name": "BANDARUPALLI",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samvel Artavazovich Charukhchian, M.D., PH.D.
• Harry McClure Chase, DDS
• Rajesh Chatkara, PT
• Solina Jinju Chiang, NP
• Memory Nyasha Chimhanda
• Aiden Cho, DMD
• Kristen Cho
• Leigh E Choate Grossman, SLP
• Jong Jin Choi, MD
• Benjamin Han Wook Chong, PT, DPT

• Dentist in Tucker, GA
• Providers in Tucker, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.