Srividya Vulugundam

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21350 Issued in FL

Practice address

4122 Rowan Rd
New Port Richey, FL 34653

Phone

(727) 645-6943

NPI assigned

Aug 25, 2015

Last updated

Aug 26, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Smileville Dental PLLC

  • General Practice Dentistry
  • Wesley Chapel, FL
  • NPI 1548094337
  NPD Authorized official
• Thatavarthy Family Dental PLLC

  dba Orange Grove Dental

  • General Practice Dentistry
  • New Port Richey, FL
  • NPI 1083196729
  NPD Authorized official

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1710354881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9319 MANGROVE CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473356",
            "telephone_number": "571-294-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-645-6943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 S Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338154735",
            "country_code": "US",
            "telephone_number": "863-226-0985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VULUGUNDAM",
        "first_name": "SRIVIDYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Care Specialty Center
• Peter Vlastaras, LMHC
• Daniel Von Zangenberg
• Voorhees Road Opco LLC
• Sanjay Vora
• Michel Randolph Peter Wagner, MD
• Kory Wahl, DC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0994)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2391)
• Wal-Mart Stores East, LP (Vision Center 30-0994)

• General Practice Dentistry in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.