Active NPI
Kiran Sreekantaiah, BDS
- Endodontics
- Winter Park, FL
National Provider Identifier
1437406527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN19908
- Practice address
- 3727 N Goldenrod Rd Ste 108
Winter Park, FL 32792-8611 - Phone
- (407) 671-0001
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN19908 | FL | Primary |
Addresses
Primary practice location
3727 N Goldenrod Rd Ste 108
Winter Park, FL 32792-8611
Mailing address
926 Great Pond Dr Ste 2002
Altamonte Springs, FL 32714-7244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526000577 | FL | Order and Referring Only - Other (Physician) | 7719207224 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19908 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1437406527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 GREAT POND DR STE 2002",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 N GOLDENROD RD STE 108",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327928611",
"telephone_number": "407-671-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SREEKANTAIAH",
"first_name": "KIRAN",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN19908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.