Active NPI
Kiran Krishna Narra, DMD
- Dentist
- Round Rock, TX
National Provider Identifier
1043861610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3583
- Practice address
- 150 Deep Wood Dr
Round Rock, TX 78681-4943 - Phone
- (512) 255-1000
- NPI assigned
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3583 | TX | Primary |
Addresses
Primary practice location
150 Deep Wood Dr
Round Rock, TX 78681-4943
Mailing address
77 Saint Stephens School Rd
Austin, TX 78746-2523
Phone (512) 796-4161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3583 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1043861610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SAINT STEPHENS SCHOOL RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787462523",
"telephone_number": "512-796-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 DEEP WOOD DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814943",
"telephone_number": "512-255-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARRA",
"first_name": "KIRAN",
"middle_name": "KRISHNA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "3583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.