Sudha N. Dusanapudi, DDS, MMSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

54057 Issued in CA

Practice address

562 Hildebrand Cir
Folsom, CA 95630-6301

Phone

(916) 367-9044

Fax

(916) 735-2407

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: sdusanapudi675605@direct.ochin.org

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1427139682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 HILDEBRAND CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306301",
            "telephone_number": "916-367-9044",
            "fax_number": "916-735-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 HILDEBRAND CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306301",
            "telephone_number": "916-367-9044",
            "fax_number": "916-735-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSANAPUDI",
        "first_name": "SUDHA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DDS, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard William Dunbar, M.D.
• Ann Duncan, M.D.
• Daniel B Dunlevy, MD
• Jason Dunn
• Christina Thi Duong, DDS
• Eagles Dialysis LLC (Folsom Dialysis)
• Tessie Leigh Eberhart, PMHNP-BC
• Lauren Ebner
• Sahba Ebrahimi, DMD
• Ashley Eder, MA

• Orthodontics and Dentofacial Orthopedics Dentistry in Folsom, CA
• Providers in Folsom, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.