Individual provider Active NPI

Anupama Valluru Adusumilli, DDS

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1609183524
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6081 Issued in NV
Practice address
1715 Kuenzli St
Reno, NV 89502-1117
Phone
(775) 334-4304
NPI assigned
Sep 13, 2010
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6081 NV Primary

Addresses

Primary practice location

1715 Kuenzli St
Reno, NV 89502-1117

Mailing address

1001 S Meadows Pkwy
Apt#1828
Reno, NV 89521-3865
Phone (916) 221-1732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6081NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1609183524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MEADOWS PKWY",
            "address_2": "APT#1828",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213865",
            "telephone_number": "916-221-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021117",
            "telephone_number": "775-334-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUSUMILLI",
        "first_name": "ANUPAMA",
        "middle_name": "VALLURU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.