Sunny Smiles Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUNNY SMILES FAMILY DENTISTRY

Practice address

345 Concord Ave
Berkeley Springs, WV 25411-1235

Phone

(304) 258-2291

NPI assigned

Dec 9, 2020

Last updated

Dec 9, 2020By 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

Dr. Sricharan Mahavadi, DDSNPI 1568957876

Title

Dentist

Phone

(304) 258-2291

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sricharan Mahavadi, DDS

  • General Practice Dentistry
  • Berkeley Springs, WV
  • NPI 1568957876
  NPD Authorized official

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1902402555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CONCORD AVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111235",
            "telephone_number": "304-258-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CONCORD AVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111235",
            "telephone_number": "304-258-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "MAHAVADI",
        "authorized_official_first_name": "SRICHARAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-258-2291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DENTAL BOARD",
            "identifier": "WV4339",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany D Stotler
• Yvonne Cheryl Straight
• Erin Elizabeth Stratford, MPT
• Yong Suh, MD
• Charity Sullivan
• Lisa Mae Sweitzer
• Judy L Talbert
• Tejase Bodyworks (Christina Page)
• Thomas W. Leslie, D.D.S.
• Abigail Thomas

• Dental Clinic/Center in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Dental Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.