DR. PRASANNA KUMAR SHIVAPUJA BDS,MDS,DDS,MS ORTHO
NPI 1710067095
Dentist - Orthodontics and Dentofacial Orthopedics in Roseville, MI

Active since October 17, 2006
25979 KELLY RD, ROSEVILLE, MI 48066(586) 779-3440(586) 779-0091 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Prasanna Kumar Shivapuja Bds,mds,dds,ms Ortho NPPES

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

DR. PRASANNA KUMAR SHIVAPUJA BDS,MDS,DDS,MS ORTHO (NPI 1710067095) is an individual orthodontics and dentofacial orthopedics provider in Roseville, Michigan, licensed in Michigan (14629) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1710067095
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. PRASANNA KUMAR SHIVAPUJACredential: BDS,MDS,DDS,MS ORTHO
Location Address25979 KELLY RDRoseville, MI 48066-4941
Mailing Address25979 Kelly RdRoseville, MI 48066-4941 · (586) 779-3440 · Fax (586) 779-0091
Fax(586) 779-0091
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1710067095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MI · 14629
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
25979 KELLY RD, Roseville, MI 48066

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
25979 KELLY RD
ROSEVILLE, MI 48066

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 Prasanna Shivapuja's NPI number?

The NPI number for Prasanna Shivapuja is 1710067095. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Prasanna Shivapuja located?

Prasanna Shivapuja practices at 25979 Kelly Rd, Roseville, MI 48066. The listed phone number is (586) 779-3440.

What is Prasanna Shivapuja's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Prasanna Shivapuja accept?

Health plans from Guardian list Prasanna Shivapuja 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 Prasanna Shivapuja was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.