Krothapalli Dental Group Pataskala LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KROTHAPALLI DENTAL GROUP PATASKALA LLC

Practice address

186 E Broad St
Pataskala, OH 43062-8527

Phone

(740) 951-0479

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Nanarao Krothapalli

Title

Dentist

Phone

(617) 223-1652

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1740797117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 E BROAD ST",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E BROAD ST",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628527",
            "telephone_number": "740-951-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROTHAPALLI DENTAL GROUP PATASKALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "KROTHAPALLI",
        "authorized_official_first_name": "NANARAO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-223-1652"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Pataskala, OH
• Providers in Pataskala, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.