Individual provider Active NPI

Hari Priya Chebrolu, DMD

  • Dentist
  • Lecanto, FL
National Provider Identifier
1437582996
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23054 Issued in FL
Practice address
601 N Lecanto Hwy
Lecanto, FL 34461-7928
Phone
(352) 249-3284
NPI assigned
Aug 19, 2013
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039638 PA
Dentist 122300000X DN23054 FL Primary
Endodontics 1223E0200X DN23054 FL

Addresses

Primary practice location

601 N Lecanto Hwy
Lecanto, FL 34461-7928

Mailing address

1101 W Pointe Vista Path # A2
Hernando, FL 34442-6299

Other practice location 1

3223 N Broad St
Dept of Endodontology, Temple University Dental School
Philadelphia, PA 19140-5007
Phone (215) 707-2810

Other practice location 2

3223 N Broad St
Dept of Endodontology, Temple University Dental School
Philadelphia, PA 19140-5007
Phone (215) 707-2810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS039638PAMDDentist
DN23054FLMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1437582996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W POINTE VISTA PATH # A2",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344426299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617928",
            "telephone_number": "352-249-3284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 N Broad St",
            "address_2": "Dept of Endodontology, Temple University Dental School",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405007",
            "country_code": "US",
            "telephone_number": "215-707-2810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3223 N Broad St",
            "address_2": "Dept of Endodontology, Temple University Dental School",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405007",
            "country_code": "US",
            "telephone_number": "215-707-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEBROLU",
        "first_name": "HARI PRIYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039638",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23054",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN23054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.