Dentist in Oregon LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTIST IN OREGON LLC

Practice address

3555 Navarre Ave Ste 12
Oregon, OH 43616-3459

Phone

(803) 830-6881

Fax

(803) 520-0324

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sreekanth Reddy Emani, DDSNPI 1922196096

Title

Manager

Phone

(803) 830-6881

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Sreekanth R Emani, DDS

  • General Practice Dentistry
  • Cayce, SC
  • NPI 1922196096
  NPD (past) Authorized official

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1700644358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 NAVARRE AVE STE 12",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163459",
            "telephone_number": "803-830-6881",
            "fax_number": "803-520-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 NAVARRE AVE STE 12",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163459",
            "telephone_number": "803-830-6881",
            "fax_number": "803-520-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "EMANI",
        "authorized_official_first_name": "SREEKANTH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-830-6881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "semani@todaysdentalsc.com",
            "affiliation": "N",
            "endpointDescription": "mail office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "mail",
            "address_1": "3555 Navarre Ave Ste 12",
            "city": "Oregon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436163459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isam Daboul, M.D.
• Isra Dar, PMHNP-BC
• Tamara Dawson-Kynard
• James Lee Demaria, D.D.S.
• Natalie Dennen, ATC, PA-C
• Denise S Deppen, CRNA
• Desoto Dialysis LLC
• Developing Grace Foundation LLC
• Michael F Devlin, M.D.
• Dialysis Partners of Northwest Ohio, LLC

• General Practice Dentistry in Oregon, OH
• Providers in Oregon, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.