Sirisha Bhamidipaty, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60305522 Issued in WA

Practice address

1533 Grove St
Marysville, WA 98270-4325

Phone

(360) 654-6464

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1972852309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704325",
            "telephone_number": "360-654-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704325",
            "telephone_number": "360-654-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAMIDIPATY",
        "first_name": "SIRISHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60305522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack M. Bergstein, M.D.
• Stacy A Berkenpas, BA
• Konstantin Berov
• Kylanne Berry, PA-C
• Tate Besougloff
• Amanda Nichelle Biddle, LMT
• John Michael Bielser, PT
• Elizabeth Bielstein, ARNP
• Kadijat Bility
• Andelyn Bindon

• General Practice Dentistry in Marysville, WA
• Providers in Marysville, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.