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NEELAGIRI DENTAL GROUP INC
NPI 1801550322
Clinic/Center - Dental in Fremont, CA

Active since October 30, 2021
43625 MISSION BLVD STE 105, FREMONT, CA 94539(510) 656-7424(510) 226-7424 Get Directions Write a Review

NPPES record last updated: October 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Neelagiri Dental Group Inc NPPES

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

NEELAGIRI DENTAL GROUP INC (NPI 1801550322), doing business as Clove Dental Care, is a healthcare organization registered as a dental in Fremont, California and active in the NPI registry since October 2021. The organization lists Krishna Neelagiri, President, as its authorized official.

NPPES Registry Identity

NPI1801550322
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNEELAGIRI DENTAL GROUP INC
Location Address43625 MISSION BLVD STE 105Fremont, CA 94539-5800
Mailing Address6011 Milano TerFremont, CA 94555-1853 · (510) 402-4432
Phone(510) 656-7424
Fax(510) 226-7424
Organization SubpartNo
Authorized OfficialKrishna NeelagiriPresident · (408) 802-5270
Enumeration DateOctober 30, 2021
NPPES CertifiedOctober 30, 2021
✔ NPI 1801550322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
43625 MISSION BLVD STE 105, Fremont, CA 94539
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Other Names 1

Doing Business AsClove Dental Care

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neelagiri Dental Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Neelagiri Dental Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Krishna Neelagiri, DDS
Dentist
NPI 1689952376
43625 MISSION BLVD STE 105
Fremont, CA 94539
(510) 656-7424
✔ PECOSSame address
Hak Kyun Kim, DDS
Dentist
NPI 1821583048
115 BERKELEY SQ
Berkeley, CA 94704
(510) 982-0300
✔ PECOS30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Neelagiri Dental Group Inc's NPI number?

The NPI number for Neelagiri Dental Group Inc is 1801550322. It was assigned to this organization in the NPPES registry on October 30, 2021. The provider is doing business as Clove Dental Care.

Where is Neelagiri Dental Group Inc located?

Neelagiri Dental Group Inc is located at 43625 Mission Blvd Ste 105, Fremont, CA 94539. The listed phone number is (510) 656-7424.

What is Neelagiri Dental Group Inc's specialty?

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

Is Neelagiri Dental Group Inc enrolled in Medicare?

Yes. Neelagiri Dental Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neelagiri Dental Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dentist, reassign their Medicare billing to Neelagiri Dental Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neelagiri Dental Group Inc was last updated on October 30, 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.