Maneesha R Chigurupati, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN25638 Issued in FL

Practice address

117 Kerneywood St
Lakeland, FL 33803-2945

Phone

(804) 239-5824

NPI assigned

Jul 23, 2010

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Maneesha Chigurupati DDS, PLLC

  • Dental Clinic/Center
  • Lakeland, FL
  • NPI 1780336396
  NPD Authorized official

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1740593342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 KERNEYWOOD ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032945",
            "telephone_number": "863-687-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 KERNEYWOOD ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032945",
            "telephone_number": "804-239-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIGURUPATI",
        "first_name": "MANEESHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Cherry
• William Hill Cherry, MD
• Chest PT 101, LLC
• Sachin Chhabra, M.D.
• Cathleen Chicoine
• Children and Teen Dental Group of Florida (Harp Pediatric Dentistry)
• Children and Teen Dental Group of Florida
• Children and Teen Ortho Group of Florida
• Children and Teen Ortho Group of Florida
• Children's Choice Behavioral Services

• Dentist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.