Krishnapriya Siripurapu, DDS MS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601156 Issued in MI

Practice address

1011 N University Ave
Ann Arbor, MI 48109-1078

Phone

(810) 394-6268

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spark Prosthodontics and Implants PLLC

  dba Spark Dental Care

  • Dental Clinic/Center
  • Flint, MI
  • NPI 1730937301
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1902528524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6163 SADDLE CREEK CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397466",
            "telephone_number": "810-394-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N UNIVERSITY AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091078",
            "telephone_number": "810-394-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIPURAPU",
        "first_name": "KRISHNAPRIYA",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Christine Sinta, LMT
• Josue Daniel Sion, MD
• Lynn Sipher, LMSW
• Holly Anne Sircher, MSN, BBA, RN
• Benyapha Sirinirund
• Wendy Sue Sisk, NP
• Scott Alexander Siskind, MBBCHBAO
• James A Siskosky, DO
• Christine Marie Sisson, PNP
• Thomas H Sisson, MD

• Dentist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.