PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION
NPI 1124689302
Clinic/Center - Dental in La Mesa, CA

Active since June 27, 2019
7122 UNIVERSITY AVE, LA MESA, CA 91942(619) 698-5471 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prasad Gonavarum D.d.s., Professional Corporation NPPES

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

PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION (NPI 1124689302), doing business as Smiles Of La Mesa, is a healthcare organization registered as a dental in La Mesa, California and active in the NPI registry since June 2019. The organization lists Prasad Gonavarum, President/owner, as its authorized official.

NPPES Registry Identity

NPI1124689302
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION
Location Address7122 UNIVERSITY AVELa Mesa, CA 91942-5926
Mailing Address7122 University AveLa Mesa, CA 91942-5926 · (619) 698-5471
Organization SubpartNo
Authorized OfficialPrasad GonavarumPresident/owner · (630) 788-5833
Enumeration DateJune 27, 2019
NPI 1124689302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
7122 UNIVERSITY AVE, La Mesa, CA 91942

Other Names 1

Doing Business AsSmiles Of La Mesa

Accepted Insurance

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.

Dentist (General Practice)
7122 UNIVERSITY AVE
LA MESA, CA 91942
Dentist
7122 UNIVERSITY AVE
LA MESA, CA 91942
Dentist (General Practice)
7122 UNIVERSITY AVE
LA MESA, CA 91942

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 Prasad Gonavarum D.D.S., Professional Corporation's NPI number?

The NPI number for Prasad Gonavarum D.D.S., Professional Corporation is 1124689302. It was assigned to this organization in the NPPES registry on June 27, 2019. The provider is doing business as Smiles of La Mesa.

Where is Prasad Gonavarum D.D.S., Professional Corporation located?

Prasad Gonavarum D.D.S., Professional Corporation is located at 7122 University Ave, La Mesa, CA 91942. The listed phone number is (619) 698-5471.

What is Prasad Gonavarum D.D.S., Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Prasad Gonavarum D.D.S., Professional Corporation accept?

Health plans from UnitedHealthcare list Prasad Gonavarum D.D.S., Professional Corporation 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 Prasad Gonavarum D.D.S., Professional Corporation was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.