Active NPI
Silpa Nekkalapudi
- Dentist
- Vancouver, WA
National Provider Identifier
1942685664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60581150
- Practice address
- 11504 NE 119TH St
Suite 100
Vancouver, WA 98662 - Phone
- (360) 619-5266
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60581150 | WA | Primary |
Addresses
Primary practice location
11504 NE 119TH St
Suite 100
Vancouver, WA 98662
Mailing address
11504 NE 119TH St
Suite 100
Vancouver, WA 98662
Phone (360) 619-5266
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60581150 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1942685664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11504 NE 119TH ST",
"address_2": "SUITE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-619-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11504 NE 119TH ST",
"address_2": "SUITE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-619-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEKKALAPUDI",
"first_name": "SILPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60581150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.