Springfield Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SPRINGFIELD PEDIATRIC DENTISTRY

Practice address

1224 Centre West Dr
Springfield, IL 62704-2184

Phone

(217) 666-0098

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sirisha Govindaiah, BDS, MPH, DDS

Title

Dentist/President

Phone

(217) 666-0098

Specialties & licenses 1

Addresses

Other names 1

• Sirisha Govindaiah DDS, PLLC Other name

Locations

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1497210546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 FOX CRST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782337249",
            "telephone_number": "217-666-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 CENTRE WEST DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042184",
            "telephone_number": "217-666-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "GOVINDAIAH",
        "authorized_official_first_name": "SIRISHA",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "217-666-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MPH, DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sirisha Govindaiah DDS, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Springfield Hospital, Inc.
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• Springfield Neurosurgical Assocaites, S.C.
• Springfield Obstetric & Gynecologic Associates, S.C.
• Springfield Pediatric & Adolescent Ctr Lab
• Springfield Periodontics LLC
• Springfield Psychological Center, LLC
• Springfield Radiologists SC
• Springfield Suites Rehab and Nursing LLC
• Springfield Supportive Living

• Pediatric Dentistry in Springfield, IL
• Providers in Springfield, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.