Anusha Bommu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040523 Issued in PA

Practice address

1509 Cedar Cliff Dr
Camp Hill, PA 17011-7720

Phone

(571) 385-6646

NPI assigned

Jul 2, 2015

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

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.

• Smileon Family Dentistry

  • General Practice Dentistry
  • Etters, PA
  • NPI 1790425007
  NPD Authorized official
• Yorkshire Dental,PLLC

  • Dental Clinic/Center
  • York, PA
  • NPI 1518511864
  NPD Authorized official

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1457734931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023031",
            "telephone_number": "717-757-0468",
            "fax_number": "717-757-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CEDAR CLIFF DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117720",
            "telephone_number": "571-385-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMMU",
        "first_name": "ANUSHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bogert-Kuebler, CNM
• Maggie Lynn Bogue
• Marilyn Ellen Boland, RN
• Linda Marie Bollinger, RN
• Jamie Marie Bolton, PSY.D.
• Caitlin Bonifacio
• Tandi Book, OTR/L
• Chelsea Boone, RN
• Hannah Boonie
• Srinivasa Ramanujan Boora, M.D.,

• General Practice Dentistry in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.