Sirisha Ganguru, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00205831 Issued in CO

Practice address

5630 N Tower Rd
Denver, CO 80249-8019

Phone

(720) 259-6154

NPI assigned

Dec 22, 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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mile High Modern Dentistry, LLP

  • Dentist
  • Denver, CO
  • NPI 1841984739
  NPD

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1609645258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 S BLACKHAWK ST UNIT 103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124011",
            "telephone_number": "859-396-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 N TOWER RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802498019",
            "telephone_number": "720-259-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGURU",
        "first_name": "SIRISHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Victor Gander, D.D.S.
• Dharti Gandhi, DDS
• Gandom LLC
• Hannah Gandsey
• Kelly Gange, RN
• Muborak J Gani
• Lianne Gann, PH.D.
• Marcella R Gannon, APN, NP-RX, PMHNP-BC
• Sheila Gannon, CNTP
• Joannah Ginsbur Ganz, MSW, DSW, LCSW

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.