Shashank Reddy Gattumeedhi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11633 Issued in NC

Practice address

1600 Cross Link Rd Ste 103-104
Raleigh, NC 27610-1089

Phone

(919) 615-2885

NPI assigned

Jul 11, 2017

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Oler, D.D.S., & Associates P.L.L.C.

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1063155562
  NPD
• Dr. Oler & Assoc. Burlington, P.a.

  dba DentalWorks

  • General Practice Dentistry
  • Burlington, NC
  • NPI 1972917318
  NPD (past)
• Kishore Thammineni Dental Associates DDS PC

  • General Practice Dentistry
  • Ashburn, VA
  • NPI 1972996114
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1407378524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 GLIDEWELL DR STE 104",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158254",
            "telephone_number": "336-524-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CROSS LINK RD STE 103-104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101089",
            "telephone_number": "919-615-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTUMEEDHI",
        "first_name": "SHASHANK REDDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Community Initiative, Inc
• Tammia Antoinette Gatlin, LPN
• Brittney Latavia Gatling
• Destiny Kyara Lashae Gattis, RBT
• Porcia Gattling
• Elizabeth Gaudette, LCSW MSW
• Amber Marie Huffman Gaught, MD
• Keith Richard Reuben Gaught, DDS
• Kelsey Ann Gaught, DPT
• Caroline Gaul

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.