Swetha Kanukula

Primary specialty

DentistTaxonomy code 122300000X

License

DDS104334 Issued in CA

Practice address

1208 Fitzgerald Dr
Pinole, CA 94564-2252

Phone

(510) 210-8907

NPI assigned

Aug 26, 2019

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

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Priya Patel Dental Corporation

  • Dentist
  • Pinole, CA
  • NPI 1285008987
  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1992353783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PORTLAND CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264317",
            "telephone_number": "408-507-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 FITZGERALD DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642252",
            "telephone_number": "510-210-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUKULA",
        "first_name": "SWETHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS104334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon G Jung, DC
• Malik-Hakim Kadir, LPC
• Kaiser Foundation Health Plan Inc
• Kamilah Sanford, D.D.S., Inc
• Kamran Kashirad & Bardia Najafi, DDS, a Professional Dental Corp.
• Kourosh Harandi DDS. Ms. Inc.
• Rie Leilani Kuhaulua, M.A., M.P.H.
• Praveena Kumar, RD
• Latch & Nurture LLC
• Kam Y Lau, PTA

• Dentist in Pinole, CA
• Providers in Pinole, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.