Kupperi and Kommineni DDS PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KUPPERI AND KOMMINENI DDS PLLC

Doing business as

Dental designs of Marvin gardens

Practice address

1619 S Providence Rd Ste 120
Waxhaw, NC 28173-0424

Phone

(704) 627-8327

Fax

(704) 370-9571

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Sanath KommineniNPI 1871801068

Title

Doctor/Manager

Phone

(980) 256-8817

Specialties & licenses 1

Addresses

Other names 1

• Dental designs of Marvin gardens Doing business as

Locations

Practitioners 1

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

• Sanath S Kommineni, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1871801068
  NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1760277206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 S PROVIDENCE RD STE 120",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730424",
            "telephone_number": "704-627-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 S PROVIDENCE RD STE 120",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730424",
            "telephone_number": "704-627-8327",
            "fax_number": "704-370-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUPPERI AND KOMMINENI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "KOMMINENI",
        "authorized_official_first_name": "SANATH",
        "authorized_official_title_or_position": "DOCTOR/MANAGER",
        "authorized_official_telephone_number": "980-256-8817",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental designs of Marvin gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Madina Kornstein
• Judith Kramer
• Jacob Hunter Krauss
• Maryanne Kudlek
• Janice Kunnakkattu, NP-C
• Lori S Kury, M.S, CCC-SLP
• Leanne Labrecque
• Alexandra Judith Lagunas, LCSW
• Lancaster Nutrition and Wellness LLC
• Diane Lancaster, M.S.,R.D.

• Clinic/Center in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.