Sirisha Dommaraju, DMD
Dentist, General Practice in Aurora, CO. Individual provider (NPI-1).
NPI number1366095101
StatusActive
Last updated in NPPESJul 22, 2019
Details
- NPI
- 1366095101
- Entity type
- Individual (NPI-1)
- Name
- Sirisha Dommaraju
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2019
- Last updated
- Jul 22, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN.00204063 | CO | Yes |
Practice location
14401 E Bayaud Ave Unit HAurora, CO 80012-1416
Phone 630-835-5291
Mailing address
1234 N Clarkson St Apt 202Denver, CO 80218-1845
Phone 630-835-5291
Is something wrong?
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