Harish Tummala, MD, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN24898 Issued in FL

Practice address

385 Bert Kouns Industrial Loop
Shreveport, LA 71106-8158

Phone

(318) 524-7736

NPI assigned

Jun 4, 2020

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1023632098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 HEARTH LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711294605",
            "telephone_number": "304-890-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068158",
            "telephone_number": "318-524-7736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2508 Bert Kouns Industrial Loop Ste 410",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711183157",
            "country_code": "US",
            "telephone_number": "318-212-5944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6572 La Highway 1 S",
            "address_purpose": "LOCATION",
            "city": "Addis",
            "state": "LA",
            "postal_code": "707102021",
            "country_code": "US",
            "telephone_number": "225-320-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Jimmie Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711124515",
            "country_code": "US",
            "telephone_number": "318-606-7648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7010 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701251134",
            "country_code": "US",
            "telephone_number": "504-766-8948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Magazine St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701305045",
            "country_code": "US",
            "telephone_number": "504-218-8370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2557 Viking Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112103",
            "country_code": "US",
            "telephone_number": "318-606-7645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9020 W Judge Perez Dr",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700434500",
            "country_code": "US",
            "telephone_number": "504-277-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Veterans Memorial Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700028440",
            "country_code": "US",
            "telephone_number": "504-833-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "HARISH",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN24898",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "7401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Tulin, MD
• Stormy Tullis, NP
• Daryl Tuminello, SLP
• Katia Tummala-Hernandez, DMD
• Ajaya Tummala, MD
• Jennifer Tupper, APRN
• Daksha Turakhia, M.D.
• Justin Turbeville
• Ladarius Turer
• Patricia Denley Turnage, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.