Active NPI
Shashikala Krishnan, D.D.S.
- Dentist
- Ann Arbor, MI
National Provider Identifier
1447463419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 013696
- Practice address
- 2900 Golfside Road
Ann Arbor, MI 48108-1410 - Phone
- (734) 434-2080
- NPI assigned
- May 7, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 013696 | MI | Primary |
Addresses
Primary practice location
2900 Golfside Road
Ann Arbor, MI 48108-1410
Mailing address
2900 Golfside Road
Ann Arbor, MI 48108
Phone (734) 434-2080
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 |
|---|---|---|---|
| 013696 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447463419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 GOLFSIDE ROAD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-434-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 GOLFSIDE ROAD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081410",
"telephone_number": "734-434-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAN",
"first_name": "SHASHIKALA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "013696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.