Vijaya Rao Cherukuri, DDS FICD

Primary specialty

DentistTaxonomy code 122300000X

License

034314 Issued in CA

Practice address

12850 Tenth Street
Suite B-2
Chino, CA 91710

Phone

(909) 627-6699

Fax

(909) 627-6975

NPI assigned

Apr 9, 2007

Last updated

Jun 20, 2012By the provider in NPPES

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 CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vijaya R Cherukuri DDS Inc

  • Dentist
  • Chino, CA
  • NPI 1295119444
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1407979248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 TENTH STREET",
            "address_2": "SUITE B-2",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-627-6699",
            "fax_number": "909-627-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 TENTH STREET",
            "address_2": "SUITE B-2",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-627-6699",
            "fax_number": "909-627-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUKURI",
        "first_name": "VIJAYA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "DDS FICD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "034314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Y F Chen
• Victoria S Chen, LMFT
• Ching-CHI Cheng, PHARMD
• Janice Tan Cheng, D.M.D.
• Marc Bunjiun Cheng, M.D.
• Sreeja Cherukuru, M.B.B.S.
• Sean Jeral Childress
• Chino Acupuncture & Herbs Clinic, Inc.
• Chino Avenue Congregate Home Inc
• Chino Care Inc. (Chino Care ADHC)

• Dentist in Chino, CA
• Providers in Chino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.