Shubha Srinivas, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019469 Issued in MI

Practice address

1509 Washington St Ste D
Midland, MI 48640-5612

Phone

(989) 837-9740

Fax

(989) 837-3672

NPI assigned

Apr 23, 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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Midland Center for Accessible Health Care

  dba Helping Hands Dental Center

  • Dentist
  • Midland, MI
  • NPI 1992880165
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1407074370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 WASHINGTON ST STE D",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 WASHINGTON ST STE D",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405612",
            "telephone_number": "989-837-9740",
            "fax_number": "989-837-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVAS",
        "first_name": "SHUBHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spirit Counseling Services LLC
• Kathryn Lynn Spooner
• Colleen Spoor
• Raeann Sprague
• Heather Marie Squanda, MSOT, OTR/L
• Raman Santosh Srinivasan, PHARMD
• Jenna Maliah St Marie
• Virginia Stackhouse
• Denise M Stadelmaier, DO
• Kristy Stahl

• General Practice Dentistry in Midland, MI
• Providers in Midland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.