Organization Active NPI

Kala Sagar Madugula DMD Inc

  • General Practice Dentistry
  • Niles, OH
National Provider Identifier
1649589151
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KALA SAGAR MADUGULA DMD INC
Practice address
5700 Youngstown Warren Rd
Unit 107
Niles, OH 44446-4762
Phone
(330) 652-3900
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Kala S Madugula, DMD
Title
Owner
Phone
(330) 652-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5700 Youngstown Warren Rd
Unit 107
Niles, OH 44446-4762

Mailing address

PO Box 3189
Syracuse, NY 13220-3189
Phone (315) 454-6000

National Provider Directory

National Provider Directory

Locations

5700 Youngstown Warren Rd
Ste 107
Niles, OH 44446
Phone (330) 207-6662

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1649589151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 YOUNGSTOWN WARREN RD",
            "address_2": "UNIT 107",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464762",
            "telephone_number": "330-652-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALA SAGAR MADUGULA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MADUGULA",
        "authorized_official_first_name": "KALA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-652-3900",
        "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": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.