Active NPI
Hari Priya Chebrolu, DMD
- Dentist
- Lecanto, FL
National Provider Identifier
1437582996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN23054
- Practice address
- 601 N Lecanto Hwy
Lecanto, FL 34461-7928 - Phone
- (352) 249-3284
- NPI assigned
- Aug 19, 2013
- Last updated
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DS039638 | PA | MD | Dentist |
| DN23054 | FL | MD | Endodontist |
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
- Austin John Burket, PA-C
- Francisco Jose Carreras-Miranda, MD
- Yanel A de Miranda Casanova, M.,A.E., ED.S.
- Jennifer Casola, APRN
- John Parker Chapman II
- Amy Susan Choto, P.T.
- Robert Purcell Christiansen, MS, CAP
- Citrus Anesthesia Providers LLC
- Citrus Bone & Joint Specialists
- Citrus Cardiology Consultants, PLLC
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.