Organization Active NPI

Maneesha Chigurupati DDS, PLLC

  • Dental Clinic/Center
  • Lakeland, FL
National Provider Identifier
1780336396
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MANEESHA CHIGURUPATI DDS, PLLC
Practice address
117 Kerneywood St
Lakeland, FL 33803-2945
Phone
(863) 687-2759
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Dr. Maneesha Chigurupati, DDSNPI 1740593342
Title
Dentist
Phone
(804) 239-5824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

117 Kerneywood St
Lakeland, FL 33803-2945

Mailing address

819 John Cressler Dr
Seffner, FL 33584-3919
Phone (804) 239-5824

National Provider Directory

National Provider Directory

Locations

117 Kerneywood St
Lakeland, FL 33803
Phone (804) 239-5824

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1780336396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 JOHN CRESSLER DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335843919",
            "telephone_number": "804-239-5824"
        },
        {
            "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": "863-687-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANEESHA CHIGURUPATI DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "CHIGURUPATI",
        "authorized_official_first_name": "MANEESHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-239-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.