Visalakshi Shivaraman, BDS MSC DIP PROS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DTP669 Issued in FL

Practice address

1395 Center Dr
Gainesville, FL 32610-3006

Phone

(352) 273-6921

NPI assigned

Jul 31, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Diploma

State licenses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1588345607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 NW 120TH TER APT 6-434",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326070675",
            "telephone_number": "352-665-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "352-273-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVARAMAN",
        "first_name": "VISALAKSHI",
        "name_prefix": "Dr.",
        "credential": "BDS MSC DIP PROS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DTP669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Lynn Shipp
• Aditya Sanjay Shirali, M.D.
• Inaas Shirazi, MD
• Desirae Shirley, M.S.
• Judy Marie Shirley, RN
• Karen Antoinette Shive, PHARMACIST
• Amy Shiver
• Jennifer Kristin Shiver, D.C.
• Shob Inc
• Joel Patrick Shoemaker, PA-C

• Prosthodontics in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.