Organization Active NPI

Cherukuri V., D.D.S., P.L.L.C.

  • General Practice Dentistry
  • Harrisburg, NC
National Provider Identifier
1417469164
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHERUKURI V., D.D.S., P.L.L.C.
Practice address
4310 Physicians Blvd
Harrisburg, NC 28075-7404
Phone
(980) 258-0866
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Dr. Venkata Naveen Cherukuri, D.D.S.NPI 1215240452
Title
Owner
Phone
(630) 336-3283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4310 Physicians Blvd
Harrisburg, NC 28075-7404

Mailing address

4310 Physicians Blvd
Harrisburg, NC 28075-7404
Phone (980) 258-0866

Other names 1

  • Harrisburg Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

4310 Physicians Blvd
Harrisburg, NC 28075
Phone (704) 454-5135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1417469164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 PHYSICIANS BLVD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757404",
            "telephone_number": "980-258-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 PHYSICIANS BLVD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757404",
            "telephone_number": "980-258-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERUKURI V., D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "CHERUKURI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "NAVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-336-3283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrisburg Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.