Individual provider Active NPI

Sreehari Kancharla, DDS

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1861780074
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS039007 Issued in PA
Practice address
100 Chatham Park Dr
Suite #101
Pittsburgh, PA 15220-2109
Phone
(412) 344-8080
NPI assigned
Jul 21, 2011
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS039007 PA Primary
General Practice Dentistry 1223G0001X 019028781 IL

Addresses

Primary practice location

100 Chatham Park Dr
Suite #101
Pittsburgh, PA 15220-2109

Mailing address

100 Chatham Park Dr
Suite #101
Pittsburgh, PA 15220-2109
Phone (412) 344-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019028781ILMDGeneral Practice Dentistry
DS039007PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1861780074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHATHAM PARK DR",
            "address_2": "SUITE #101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202109",
            "telephone_number": "412-344-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHATHAM PARK DR",
            "address_2": "SUITE #101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202109",
            "telephone_number": "412-344-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCHARLA",
        "first_name": "SREEHARI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039007",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.