Organization Active NPI

Dental Braces Guru PLLC

Doing business as Coral Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Coral Springs, FL
National Provider Identifier
1790148294
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 18968 Issued in FL
Legal business name
DENTAL BRACES GURU PLLC
Doing business as
Coral Orthodontics
Practice address
11330 Wiles Rd
Coral Springs, FL 33076-2113
Phone
(954) 418-2354
Fax
(954) 369-1440
NPI assigned
Apr 1, 2016
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Dr. Prathima Krishna Adusumilli, DMD, MSNPI 1891096533
Title
Orthodontist
Phone
(954) 418-2354

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN 18968 FL Primary

Addresses

Primary practice location

11330 Wiles Rd
Coral Springs, FL 33076-2113

Mailing address

11332 Wiles Rd
Coral Springs, FL 33076-2114
Phone (954) 418-2354

Other names 1

  • Coral Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

11330 Wiles Rd
Coral Springs, FL 33076
Phone (954) 418-2354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1790148294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11332 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762114",
            "telephone_number": "954-418-2354",
            "fax_number": "954-369-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762113",
            "telephone_number": "954-418-2354",
            "fax_number": "954-369-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL BRACES GURU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "ADUSUMILLI",
        "authorized_official_first_name": "PRATHIMA",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "954-418-2354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 18968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coral Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.