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Export Provider Record NPI 1407378524
Shashank Reddy GattumeedhiDDS
Active
NPI Number1407378524
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1407378524
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-07-11
Last Updated2022-04-11
Mailing Address1595 Glidewell Dr Ste 104
Burlington, NC 27215-8254
United States
Phone: (336) 524-0099
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Primary Practice Address1600 Cross Link Rd Ste 103-104
Raleigh, NC 27610-1089
United States
Phone: (919) 615-2885
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeNC11633
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About NPI 1407378524

Shashank Reddy Gattumeedhi DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1407378524. The primary specialty listed is Dentist, General Practice. The provider is located in Raleigh, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-07-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1407378524?

NPI 1407378524 belongs to Shashank Reddy Gattumeedhi DDS, a Dentist, General Practice in Raleigh, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1407378524 active?

The current status of NPI 1407378524 in the NPPES registry is Active. The record was last updated on 2022-04-11.

What specialty is NPI 1407378524?

NPI 1407378524 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1407378524?

You can verify NPI 1407378524 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1407378524?

The primary practice address on file for NPI 1407378524 is 1600 Cross Link Rd Ste 103-104, Raleigh, NC 27610-1089. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1407378524 issued?

NPI 1407378524 was first issued (enumerated) on 2017-07-11. The NPPES record was last updated on 2022-04-11.

Practice Location Map

Shashank Reddy Gattumeedhi is located at 1600 Cross Link Rd Ste 103-104, Raleigh, NC. Use the map below to find directions or verify the practice location.

📍 1600 Cross Link Rd Ste 103-104, Raleigh, NC 27610-1089  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Shashank Reddy Gattumeedhi. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1407378524. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice11633NC
Data Verified from CMS NPPES Last synced: 2026-08-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162