NPIMap

Organization Active NPI

Siddhi Anitha Prasanna PA

  • Dentist
  • Titusville, FL
National Provider Identifier
1427330489
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DNI6818 Issued in FL
Legal business name
SIDDHI ANITHA PRASANNA PA
Practice address
815 Cheney Hwy
Titusville, FL 32780-6960
Phone
(321) 268-0108
Fax
(321) 269-6033
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Dr. Anitha Prasanna, DMD
Title
Dentist
Phone
(321) 268-0108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DNI6818 FL Primary

Addresses

Primary practice location

815 Cheney Hwy
Titusville, FL 32780-6960

Mailing address

815 Cheney Hwy
Titusville, FL 32780-6960
Phone (321) 268-0108

National Provider Directory

National Provider Directory
Tax ID family
Siddhi Anitha Prasanna2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

815 Cheney Hwy
Titusville, FL 32780
Phone (321) 268-0108

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": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1427330489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806960",
            "telephone_number": "321-268-0108",
            "fax_number": "321-269-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806960",
            "telephone_number": "321-268-0108",
            "fax_number": "321-269-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDHI ANITHA PRASANNA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "PRASANNA",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-268-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DNI6818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.