Individual provider Active NPI

Anirudh Sai Pidugu, DDS

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1891498408
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
065734 Issued in NY
Practice address
813 Saint Nicholas Ave Apt 2F
New York, NY 10031-2920
Phone
(501) 400-5254
NPI assigned
Mar 23, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 065734 NY Primary

Addresses

Primary practice location

813 Saint Nicholas Ave Apt 2F
New York, NY 10031-2920

Mailing address

813 Saint Nicholas Ave Apt 2F
New York, NY 10031-2920
Phone (501) 400-5254

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

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1891498408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 SAINT NICHOLAS AVE APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312920",
            "telephone_number": "501-400-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 SAINT NICHOLAS AVE APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312920",
            "telephone_number": "501-400-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDUGU",
        "first_name": "ANIRUDH",
        "middle_name": "SAI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "065734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.