Organization Active NPI

Siva S. Cherukuri DDS Inc

  • Dentist
  • San Jose, CA
National Provider Identifier
1881022333
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48245 Issued in CA
Legal business name
SIVA S. CHERUKURI DDS INC
Practice address
2930 Aborn Square Rd
San Jose, CA 95121-1504
Phone
(408) 365-7446
Fax
(408) 274-9990
NPI assigned
Oct 18, 2013
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Srinivas Tipirneni
Title
Manager
Phone
(408) 829-9674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 48245 CA Primary

Addresses

Primary practice location

2930 Aborn Square Rd
San Jose, CA 95121-1504

Mailing address

2930 Aborn Square Rd
San Jose, CA 95121-1504
Phone (408) 365-7446

National Provider Directory

National Provider Directory
Tax ID family
Siva S Cherukuri DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1881022333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 ABORN SQUARE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211504",
            "telephone_number": "408-365-7446",
            "fax_number": "408-274-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 ABORN SQUARE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211504",
            "telephone_number": "408-365-7446",
            "fax_number": "408-274-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVA S. CHERUKURI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "TIPIRNENI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-829-9674"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.