NPIMap

Organization Active NPI

Shraddha P. Kolappa DDS PA

  • Pediatric Dentistry
  • Clayton, NC
National Provider Identifier
1578032413
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SHRADDHA P. KOLAPPA DDS PA
Practice address
400 Tew CT Ste 106
Clayton, NC 27520-2279
Phone
(919) 553-3202
Fax
(919) 883-9742
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Shraddha Patel Kolappa, DDSNPI 1376983718
Title
President
Phone
(919) 553-3202

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

400 Tew CT Ste 106
Clayton, NC 27520-2279

Mailing address

116 Brushy Lake Way
Cary, NC 27513-4841
Phone (828) 461-5900

Other names 1

  • Clayton Kids Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1578032413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BRUSHY LAKE WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134841",
            "telephone_number": "828-461-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TEW CT STE 106",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202279",
            "telephone_number": "919-553-3202",
            "fax_number": "919-883-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRADDHA P. KOLAPPA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "KOLAPPA",
        "authorized_official_first_name": "SHRADDHA",
        "authorized_official_middle_name": "PATEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-553-3202",
        "authorized_official_credential": "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": "Clayton Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.