Madhavi Suresh Seri DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MADHAVI SURESH SERI DDS INC

Practice address

1940 N Tracy Blvd
Tracy, CA 95376-2423

Phone

(209) 666-2162

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By 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. Madhavi Suresh SeriNPI 1790291151

Title

Ceo

Phone

(209) 666-2162

Specialties & licenses 1

Addresses

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.

• Madhavi Suresh Seri

  • Dentist
  • Tracy, CA
  • NPI 1790291151
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1912629536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762423",
            "telephone_number": "209-666-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762423",
            "telephone_number": "209-666-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHAVI SURESH SERI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "SERI",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_middle_name": "SURESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-666-2162",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Machuca Rivera
• Mayra Maciel
• Donovan Mackey
• Rohini Madala, O.D.
• Diana Madera Escobedo
• Priscila Madrigal
• Christopher Douglas Madsen, PA-C
• Alexander Jeronimo Maes
• Atheena Mariah Maestas Silva
• Chloe Maestas

• Dental Clinic/Center in Tracy, CA
• Providers in Tracy, CA by specialty
• Dental Clinic/Center in California

• 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.