Active NPI
Cherukuri V., D.D.S., P.L.L.C.
- General Practice Dentistry
- Harrisburg, NC
National Provider Identifier
1417469164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Harrisburg, NC
- NPI 1215240452
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.