Individual provider Active NPI

Arvinda Reddy Kunduru, DDS

  • Dentist
  • San Diego, CA
National Provider Identifier
1841485208
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47502 Issued in CA
Practice address
5440 Morehouse Dr
Suite 1800
San Diego, CA 92121-1798
Phone
(858) 433-8798
Fax
(858) 605-0921
NPI assigned
Sep 10, 2007
Last updated
Jul 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47502 CA Primary

Addresses

Primary practice location

5440 Morehouse Dr
Suite 1800
San Diego, CA 92121-1798

Mailing address

5440 Morehouse Dr
Suite 1800
San Diego, CA 92121-1798
Phone (858) 433-8798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240924004628 CA Order and Referring Only - DentistPractitioner - Dentist 6507307014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47502CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arvinda Reddy Kunduru, DDS Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1841485208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR",
            "address_2": "SUITE 1800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211798",
            "telephone_number": "858-433-8798",
            "fax_number": "858-605-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR",
            "address_2": "SUITE 1800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211798",
            "telephone_number": "858-433-8798",
            "fax_number": "858-605-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDURU",
        "first_name": "ARVINDA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.