Organization Active NPI

Krishna Neelagiri DDS Inc

  • Dental Clinic/Center
  • San Leandro, CA
National Provider Identifier
1881453058
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KRISHNA NEELAGIRI DDS INC
Practice address
536 Estudillo Ave
San Leandro, CA 94577-4612
Phone
(510) 483-2244
Fax
(510) 483-0825
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Krishna Neelagiri, DDSNPI 1689952376
Title
Owner Dentist
Phone
(408) 802-5270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

536 Estudillo Ave
San Leandro, CA 94577-4612

Mailing address

536 Estudillo Ave
San Leandro, CA 94577-4612
Phone (510) 483-2244

National Provider Directory

National Provider Directory

Locations

536 Estudillo Ave
San Leandro, CA 94577
Phone (510) 483-2244

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1881453058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774612",
            "telephone_number": "510-483-2244",
            "fax_number": "510-483-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774612",
            "telephone_number": "510-483-2244",
            "fax_number": "510-483-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA NEELAGIRI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "NEELAGIRI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "408-802-5270",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.