Active NPI
Sindhuja Mudunuri
- Dentist
- Harrisburg, PA
National Provider Identifier
1992425888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043835
- Practice address
- 2323 Linglestown Rd Unit 201a
Harrisburg, PA 17110-9424 - Phone
- (717) 695-2188
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- No
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 | DS043835 | PA | Primary |
Addresses
Primary practice location
2323 Linglestown Rd Unit 201a
Harrisburg, PA 17110-9424
Mailing address
2323 Linglestown Rd Unit 201a
Harrisburg, PA 17110-9424
Phone (717) 695-2188
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 |
|---|---|---|---|
| DS043835 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1992425888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 LINGLESTOWN RD UNIT 201A",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171109424",
"telephone_number": "717-695-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 LINGLESTOWN RD UNIT 201A",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171109424",
"telephone_number": "717-695-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDUNURI",
"first_name": "SINDHUJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.