Individual provider Active NPI

Silpa Bhimireddy, D.D.S

  • Dentist
  • Marshfield, WI
National Provider Identifier
1508317124
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001235 Issued in WI
Practice address
306 W McMillan St
Marshfield, WI 54449-6013
Phone
(715) 387-1702
Fax
(715) 384-7915
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001235 WI Primary

Addresses

Primary practice location

306 W McMillan St
Marshfield, WI 54449-6013

Mailing address

813 Monique LN
Marshfield, WI 54449-2445
Phone (646) 323-3586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001235WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Clinic of Marshfield SC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1508317124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 MONIQUE LN",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492445",
            "telephone_number": "646-323-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MCMILLAN ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544496013",
            "telephone_number": "715-387-1702",
            "fax_number": "715-384-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIMIREDDY",
        "first_name": "SILPA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.