Organization Active NPI

Srinivas DMD & Associates PLLC

Doing business as Sweetwater Dental

  • Dental Clinic/Center
  • Apex, NC
National Provider Identifier
1609522812
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SRINIVAS DMD & ASSOCIATES PLLC
Doing business as
Sweetwater Dental
Practice address
1481 Richardson Rd Ste 111
Apex, NC 27523-8073
Phone
(919) 446-3131
Fax
(919) 746-7588
NPI assigned
Feb 25, 2022
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Srinivas Reddy Mandala, DMDNPI 1710208004
Title
General Dentist
Phone
(919) 446-3131

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1481 Richardson Rd Ste 111
Apex, NC 27523-8073

Mailing address

1481 Richardson Rd Ste 111
Apex, NC 27523-8073
Phone (919) 446-3131

Other names 1

  • SWEETWATER DENTAL 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1609522812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 RICHARDSON RD STE 111",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275238073",
            "telephone_number": "919-446-3131",
            "fax_number": "919-746-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 RICHARDSON RD STE 111",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275238073",
            "telephone_number": "919-446-3131",
            "fax_number": "919-746-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRINIVAS DMD & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "MANDALA",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "919-446-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWEETWATER DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.