Organization Active NPI

Sarat Nalluri, DDS, Inc.

  • General Practice Dentistry
  • Poland, OH
National Provider Identifier
1508038712
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30020901 Issued in OH
Legal business name
SARAT NALLURI, DDS, INC.
Practice address
7067 Tiffany Blvd Ste 260
Poland, OH 44514-1958
Phone
(330) 629-9021
Fax
(330) 965-9237
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Sarat Nalluri, D.D.S.NPI 1043316904
Title
Dentist
Phone
(330) 629-9021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30020901 OH Primary

Addresses

Primary practice location

7067 Tiffany Blvd Ste 260
Poland, OH 44514-1958

Mailing address

7067 Tiffany Blvd Ste 260
P.O. Box 5410
Poland, OH 44514-1958
Phone (330) 629-9021

Other identifiers 1

IdentifierTypeStateIssuer
2109668MedicaidOH

National Provider Directory

National Provider Directory

Locations

7067 Tiffany Blvd
Ste 260
Poland, OH 44514
Phone (330) 629-9021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1508038712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD STE 260",
            "address_2": "P.O. BOX 5410",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141958",
            "telephone_number": "330-629-9021",
            "fax_number": "330-965-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD STE 260",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141958",
            "telephone_number": "330-629-9021",
            "fax_number": "330-965-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAT NALLURI, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "NALLURI",
        "authorized_official_first_name": "SARAT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "330-629-9021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.