Sridevi Duggirala, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN02756 Issued in RI

Practice address

526 Newport Ave
Pawtucket, RI 02861-3612

Phone

(401) 724-2570

Fax

(401) 724-0199

NPI assigned

Jul 1, 2008

Reactivated

Mar 9, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sridevi Boppana Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Family Smiles Dental Care

  • Dental Clinic/Center
  • Pawtucket, RI
  • NPI 1316665979
  NPD Authorized official
• Lincoln Dental Care LLC

  • General Practice Dentistry
  • Lincoln, RI
  • NPI 1811672942
  NPD

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1457513228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 NEWPORT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613612",
            "telephone_number": "401-724-2570",
            "fax_number": "401-724-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NEWPORT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613612",
            "telephone_number": "401-724-2570",
            "fax_number": "401-724-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGIRALA",
        "first_name": "SRIDEVI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "deactivation_date": "2026-03-02",
        "reactivation_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIDEVI",
            "last_name": "BOPPANA",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek Dube
• Geret Alan Dubois, MD
• Annmarie Duchesne
• Julia Dudek
• Melynda May Duggan, PTA
• Nicole M Duhamel
• Raj Venkat Dulala, BDS, DMD
• Lauren Dunn, SLP
• Amanda Tuyet Duong, MPH, RDN, LDN
• Elizabeth Duphiney, RN

• General Practice Dentistry in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.