Organization Active NPI

Smile Centers PC

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1679777171
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017598 Issued in MI
Legal business name
SMILE CENTERS PC
Practice address
4000 Livernois Rd Ste 100
Troy, MI 48098-4712
Phone
(248) 813-7700
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Dr. Sirisha Nemallapudi, D.M.DNPI 1346392693
Title
Dentist
Phone
(248) 813-7700

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901017598 MI Primary

Addresses

Primary practice location

4000 Livernois Rd Ste 100
Troy, MI 48098-4712

Mailing address

4000 Livernois Rd # 100
Troy, MI 48098-4712
Phone (248) 813-7700

National Provider Directory

National Provider Directory

Locations

4000 Livernois Rd
Ste 100
Troy, MI 48098
Phone (248) 813-7700

4000 Livernois Rd
#100
Troy, MI 48098

5942 Livernois Rd
Troy, MI 48098
Phone (248) 250-9269

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1679777171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LIVERNOIS RD # 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984712",
            "telephone_number": "248-813-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LIVERNOIS RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984712",
            "telephone_number": "248-813-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "NEMALLAPUDI",
        "authorized_official_first_name": "SIRISHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-813-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.