Organization Active NPI

Dr. Sudha Gutti, DMD. Inc.

  • Dental Clinic/Center
  • Birmingham, AL
National Provider Identifier
1679848238
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5786 Issued in AL
Legal business name
DR. SUDHA GUTTI, DMD. INC.
Practice address
612 Red Lane Rd
Birmingham, AL 35215-8236
Phone
(205) 833-5405
Fax
(205) 833-5091
NPI assigned
Mar 15, 2012
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. Sudha Rani Gutti, DMD
Title
President
Phone
(205) 833-5405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5786 AL Primary

Addresses

Primary practice location

612 Red Lane Rd
Birmingham, AL 35215-8236

Mailing address

3710 Chalybe Walk
Hoover, AL 35226-6282
Phone (205) 833-5405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1679848238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 CHALYBE WALK",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352266282",
            "telephone_number": "205-833-5405",
            "fax_number": "205-833-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 RED LANE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352158236",
            "telephone_number": "205-833-5405",
            "fax_number": "205-833-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUDHA GUTTI, DMD. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "GUTTI",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-833-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.