Srikanth Cherukadu DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27122 Issued in TX

Legal business name

SRIKANTH CHERUKADU DMD PLLC

Doing business as

Dominion Dental Spa

Practice address

4 Dominion Dr Ste 250
San Antonio, TX 78257-1390

Phone

(210) 687-1150

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Srikanth Cherukadu, DMD

Title

Owner

Phone

(210) 687-1150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dominion Dental Spa Doing business as

Locations

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1881105948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DOMINION DR STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571390",
            "telephone_number": "210-687-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DOMINION DR STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571390",
            "telephone_number": "210-687-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIKANTH CHERUKADU DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "CHERUKADU",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-687-1150",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL BOARD",
            "identifier": "27122",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dominion Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Kaur Sra, MD
• Dorene Sralla
• Rajasree Sreedharan, M.D.
• Dorothy J Srembo, CRNA
• Swetha Sridhar, M.D.
• Ramesh C Srinivasan, M.D.
• Venkatesan Srinivasan, M.D.
• Courtney Srrano
• Ya-Sin Lee Ssali
• SSC San Antonio West Operating Company LLC (Retama Manor Nursing Center - San Antonio West)

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.