Active NPI
Skdds LLC
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1588577738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SKDDS LLC
- Practice address
- 1717 W Northern Ave Ste 109
Phoenix, AZ 85021-5400 - Phone
- (602) 861-3700
- Fax
- (602) 861-3704
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sri Lakshmi Silpa Kastala, DDS
- Title
- Owner Dentist
- Phone
- (602) 737-9985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
1717 W Northern Ave Ste 109
Phoenix, AZ 85021-5400
Mailing address
1717 W Northern Ave Ste 109
Phoenix, AZ 85021-5400
Phone (602) 861-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1588577738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 W NORTHERN AVE STE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215400",
"telephone_number": "602-861-3700",
"fax_number": "602-861-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W NORTHERN AVE STE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215400",
"telephone_number": "602-861-3700",
"fax_number": "602-861-3704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKDDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-27",
"status": "A",
"authorized_official_last_name": "KASTALA",
"authorized_official_first_name": "SRI LAKSHMI SILPA",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "602-737-9985",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.