Geetha Muthukuri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6655-015 Issued in WI

Practice address

7130 W Greenfield Ave
West Allis, WI 53214-4708

Phone

(414) 258-2500

NPI assigned

Jul 25, 2011

Last updated

Jul 25, 2011By the provider in NPPES

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas Persich, DDS

  dba West Allis Dental Care, LLC

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1174604888
  NPD (past)
• Keystone West Allis LLC West Allis Dental Care

  • Dental Clinic/Center
  • West Allis, WI
  • NPI 1588297584
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1528346533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 DEWBERRY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144708",
            "telephone_number": "414-258-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUKURI",
        "first_name": "GEETHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6655-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahida Rahman Munim, MD
• Kerri L Murphy, PAC
• Mary M Murphy, PT
• Laura Musack
• Roberto B Musni, MD
• My Smile- West Allis LLC
• Myeyedr Optometry of Wisconsin, LLC (MyEyeDr.)
• Srikrishna Mylavarapu, MD
• Cori Ann Myszka, CSAC, APSW
• Erin Nachreiner-Mackesey

• Dentist in West Allis, WI
• Providers in West Allis, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.