Sireesha Kodali, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D009876 Issued in AZ

Practice address

600 S Dobson Rd
Chandler, AZ 85224-5678

Phone

(480) 820-6778

Fax

(623) 344-3007

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Pediatric Dentistry and Orthodontic

  • Pediatric Dentistry
  • Phoenix, AZ
  • NPI 1619021490
  NPD (past)
• Kid-1 Pediatric Dentistry

  • Pediatric Dentistry
  • Casa Grande, AZ
  • NPI 1568689776
  NPD (past)
• Malingkas DMD PLLC

  • Pediatric Dentistry
  • Casa Grande, AZ
  • NPI 1265266175
  NPD (past)
• Shashi M. Kapur

  • Pediatric Dentistry
  • Chandler, AZ
  • NPI 1891848958
  NPD (past)

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1447608443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 E BOOT TRACK TRL",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "480-820-6778",
            "fax_number": "623-344-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 E Cottonwood Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222226",
            "country_code": "US",
            "telephone_number": "520-876-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODALI",
        "first_name": "SIREESHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "9770",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D009876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Knoll, OTR/L
• Theodore Johann Knuck
• Catherine Rosemary Knudtson, OTR/L
• Mary Kay Kochman, AU.D.
• Brian Kociszewski
• Ronald B Koehler, RPH, MBA
• Randall Scott Koenig, PHARM D.
• Rose Marie Koerber
• Anthony J Kohler, D.D.S.
• Anita Kohli, MD

• All providers in Chandler, AZ
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.

Verify at the official NPI Registry.