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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEERTHI PRASANNA CHENNURI
NPI 1053253880
Dentist - General Practice in Clinton, NC

Active since April 09, 2026PECOS Enrolled
411 FAIRVIEW ST, CLINTON, NC 28328(910) 592-3516(910) 592-0530 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2026, May 29, 2026, Apr 9, 2026 (3 updates tracked since 2026).

About Keerthi Prasanna Chennuri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEERTHI PRASANNA CHENNURI (NPI 1053253880) is an individual general practice provider in Clinton, North Carolina, licensed in North Carolina (15016) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053253880
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKEERTHI PRASANNA CHENNURI
Location Address411 FAIRVIEW STClinton, NC 28328-2311
Mailing Address411 Fairview StClinton, NC 28328-2311 · (910) 592-3516 · Fax (910) 592-0530
Phone(910) 592-3516
Fax(910) 592-0530
Sole ProprietorNo
Enumeration DateApril 9, 2026
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1053253880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NC · 15016✔ Licensed in IL · 019037113
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
411 FAIRVIEW ST, Clinton, NC 28328
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keerthi Prasanna Chennuri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANE AND ASSOCIATES XXXII DDS PA
Dentist (General Practice)
411 FAIRVIEW ST
CLINTON, NC 28328
Sampson County (910) 592-3516
DR. DAVID GORDON KUNZMAN DDS
Dentist (General Practice)
411 FAIRVIEW ST
CLINTON, NC 28328
Sampson County (910) 592-3516
DAVID G KUNZMAN DDS,PA
Clinic/Center (Dental)
411 FAIRVIEW ST
CLINTON, NC 28328
Sampson County (910) 592-3516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keerthi Prasanna Chennuri's NPI number?

The NPI number for Keerthi Prasanna Chennuri is 1053253880. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Keerthi Prasanna Chennuri located?

Keerthi Prasanna Chennuri practices at 411 Fairview St, Clinton, NC 28328. The listed phone number is (910) 592-3516.

What is Keerthi Prasanna Chennuri's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Keerthi Prasanna Chennuri enrolled in Medicare?

Yes. Keerthi Prasanna Chennuri is registered in the Medicare PECOS enrollment system.

What insurance does Keerthi Prasanna Chennuri accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of North Carolina and 11 other insurers list Keerthi Prasanna Chennuri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keerthi Prasanna Chennuri was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.