DR. SIVAKUMAR VENKATACHALAM DMD
NPI 1285202796
Dentist - General Practice in Wildwood, FL

Active since June 12, 2021
4675 E SR 44 STE 104, WILDWOOD, FL 34785(352) 418-3041(352) 502-4141 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sivakumar Venkatachalam Dmd NPPES

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

DR. SIVAKUMAR VENKATACHALAM DMD (NPI 1285202796) is an individual general practice provider in Wildwood, Florida, licensed in Florida (DN25890) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1285202796
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SIVAKUMAR VENKATACHALAMCredential: DMD
Location Address4675 E SR 44 STE 104Wildwood, FL 34785-7461
Mailing Address3837 Pepper Tree Ln Apt 6208Wildwood, FL 34785-7600 · (706) 332-6696
Fax(352) 502-4141
Sole ProprietorNo
Enumeration DateJune 12, 2021
NPPES CertifiedJune 12, 2021
NPI 1285202796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN25890
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.
4675 E SR 44 STE 104, Wildwood, FL 34785

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
4675 E SR 44 STE 104
WILDWOOD, FL 34785
Dentist
4675 E SR 44 STE 104
WILDWOOD, FL 34785

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 Sivakumar Venkatachalam's NPI number?

The NPI number for Sivakumar Venkatachalam is 1285202796. It was assigned to this individual provider in the NPPES registry on June 12, 2021.

Where is Sivakumar Venkatachalam located?

Sivakumar Venkatachalam practices at 4675 E Sr 44 Ste 104, Wildwood, FL 34785. The listed phone number is (352) 418-3041.

What is Sivakumar Venkatachalam's specialty?

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

What insurance does Sivakumar Venkatachalam accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 14 other insurers list Sivakumar Venkatachalam 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 Sivakumar Venkatachalam was last updated on June 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.