Individual provider Active NPI

Sirisha Krishnamurthy, DDS

  • General Practice Dentistry
  • Folsom, CA
National Provider Identifier
1962758284
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56438 Issued in CA
Practice address
2350 E Bidwell St Ste 100
Folsom, CA 95630-3455
Phone
(916) 983-9800
Fax
(916) 983-6100
NPI assigned
Jul 24, 2012
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56438 CA Primary

Addresses

Primary practice location

2350 E Bidwell St Ste 100
Folsom, CA 95630-3455

Mailing address

2350 E Bidwell St Ste 100
Folsom, CA 95630-3455
Phone (916) 983-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020002360 CA Order and Referring Only - DentistPractitioner - Dentist 2860767605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56438CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Snore and Sleep Solutions Inc. General Practice CurrentSince May 6, 2013 Accepting new patients
Sirisha Krishnamurthy DDS Inc Current Accepting new patients

Locations

2180 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (916) 983-9800

2350 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (916) 542-7996

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1962758284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 E BIDWELL ST STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303455",
            "telephone_number": "916-983-9800",
            "fax_number": "916-983-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 E BIDWELL ST STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303455",
            "telephone_number": "916-983-9800",
            "fax_number": "916-983-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAMURTHY",
        "first_name": "SIRISHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.