Sarath Chandran Srinivasan, MDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

40736 Issued in TX

Practice address

101 E Park Blvd Ste 475
Plano, TX 75074-8818

Phone

(469) 626-9858

Fax

(469) 213-5678

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endodontic Specialists of Rockwall Bamf Dental PLLC Sole MBR

  dba Endodontic Specialist of Rockwall

  • Endodontics
  • Rockwall, TX
  • NPI 1952742470
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1942046818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 CAMERON PARC CIR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226454",
            "telephone_number": "404-360-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PARK BLVD STE 475",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748818",
            "telephone_number": "469-626-9858",
            "fax_number": "469-213-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Arista Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326657",
            "country_code": "US",
            "telephone_number": "469-698-7668",
            "fax_number": "469-208-9443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "SARATH",
        "middle_name": "CHANDRAN",
        "name_prefix": "Dr.",
        "credential": "MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "40736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer H Springman, LPC
• Spruce Operations, LLC
• Adrienne Danielle Squiers, M.S. CCC-SLP
• Shimna Sreedharan
• Jaya Srinath
• Sroyc PLLC
• SRP Behavioral Hospital of Plano LLC (WellBridge Healthcare of Plano)
• SRR Healthcare Inc (Omni Pharmacy)
• St Jude Medical S.C. Inc (St Jude Medical Neuro Division)
• Amy Graddy St. John, D.C., LMT

• Periodontics in Plano, TX
• Providers in Plano, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.