Priya Sridhar DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRIYA SRIDHAR DMD PLLC

Doing business as

Kenmore Dental

Practice address

5723 NE Bothell Way Ste B
Kenmore, WA 98028-9404

Phone

(425) 485-0588

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Priya Sridhar, DMDNPI 1851951776

Title

Dentist

Phone

(425) 485-0588

Specialties & licenses 1

Addresses

Other names 1

• Kenmore Dental Doing business as

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.

• Priya Sridhar, BDS, DMD

  • Dentist
  • Bellevue, WA
  • NPI 1851951776

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1609541648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 NE BOTHELL WAY STE B",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289404",
            "telephone_number": "425-485-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 NE BOTHELL WAY STE B",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289404",
            "telephone_number": "425-485-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYA SRIDHAR DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "SRIDHAR",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-485-0588",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenmore Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hazel A Philp, ND
• Doris Piccinin, M.S. R.D. C.D.E.
• Brianna Allain Piche, N.D.
• Vinai Prakash, D.P.M
• Ryan Previlon-Fils
• Public Hospital District No 2 (Evergreen Medical Group Kenmore)
• Quirt, Mongrain, Gibree, P.C. (Kenmore Dentistry)
• Rafaela de Leon PLLC (Whole Therapies Collective)
• Rebecca Cummings, M.S., CCC-SLP, PLLC
• Rediclinic of Wa, LLC

• General Practice Dentistry in Kenmore, WA
• Providers in Kenmore, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.