Yellamanchili Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YELLAMANCHILI DENTAL CORP

Practice address

1490 Eureka Rd Ste 130
Roseville, CA 95661-2825

Phone

(916) 409-3979

NPI assigned

Feb 23, 2022

Organization subpart

No

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

Authorized official

Name

Madhavi Yellamanchili, DDSNPI 1396954434

Title

Ceo

Phone

(916) 529-9085

Specialties & licenses 1

Addresses

Other names 1

• EUREKA RIDGE DENTISTRY 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.

• Madhavi Yellamanchili, DDS

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1396954434
  NPD Authorized official

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1821744368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 EUREKA RD STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612825",
            "telephone_number": "916-409-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 EUREKA RD STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612825",
            "telephone_number": "916-409-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLAMANCHILI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "YELLAMANCHILI",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-529-9085",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EUREKA RIDGE DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chill Chew Yee, M.D.
• David S Yee, M.D.
• Krista D Yee, MS
• Knarik Yegiazaryan, PHARMD
• Julie Yeh
• Madhavi Yellamanchili, DDS
• Kelly Yerby, MS
• Vanessa Yerekhman, PHARM.D.
• Lara Yergatian
• Isagani Ynot, OTR/L

• General Practice Dentistry in Roseville, CA
• Providers in Roseville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.