Sriteja Gummadi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7936 Issued in OK

Practice address

521 W Wall St
Morrison, IL 61270-2139

Phone

(815) 400-9141

NPI assigned

Jul 1, 2024

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1518703495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221226",
            "telephone_number": "512-818-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W WALL ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702139",
            "telephone_number": "815-400-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Camanche",
            "state": "IA",
            "postal_code": "527301811",
            "country_code": "US",
            "telephone_number": "563-259-1431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Albany St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "IL",
            "postal_code": "612509682",
            "country_code": "US",
            "telephone_number": "309-659-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUMMADI",
        "first_name": "SRITEJA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Morrison, IL
• Providers in Morrison, IL by specialty
• Dentist in Illinois

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