Prazwala Chirravur, BDS, MS

Primary specialty

Oral Medicine DentistryTaxonomy code 125Q00000X

License

13584 Issued in CT

Practice address

263 Farmington Ave
Farmington, CT 06030-6110

Phone

(860) 679-2925

Fax

(860) 679-4760

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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 CT

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

Specialty

Undefined Physician Type (Specify)Also: Dentist

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

University DentistsGroup PAC ID 6800167172, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Dentists

  • Dental Clinic/Center
  • Farmington, CT
  • NPI 1922029768
  Medicare reassignment Care Compare group NPD
• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD
• University of Connecticut Health Center

  • General Practice Physician
  • Farmington, CT
  • NPI 1720083769
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1801356811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NOTTINGHAM BLVD",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851185",
            "telephone_number": "832-331-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060306110",
            "telephone_number": "860-679-2925",
            "fax_number": "860-679-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRRAVUR",
        "first_name": "PRAZWALA",
        "credential": "BDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "CT",
            "license": "13584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nagasudha Laxmi Chigurupati, MD
• Childrens Eye Care PC
• Ransom Chin
• Lan-Lin Chiou, DDS
• Lisa Chirch, M.D.
• David Chiu, MD
• Jerlon Chiu, MD
• David Choi, M.D.
• Linda Choquette, RDH
• Ewelina Chorzepa

• Oral Medicine Dentistry in Farmington, CT
• Providers in Farmington, CT by specialty
• Oral Medicine Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.