Shyam Sunder Indrakanti, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

38305 Issued in TX

Practice address

2762 N Galloway Ave Ste 100
Mesquite, TX 75150-4859

Phone

(972) 698-8500

NPI assigned

May 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sindrakanti72102@direct.phhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vox Dental PLLC

  dba Metroplex Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Mesquite, TX
  • NPI 1881576429
  NPD
• DFW Oral and Maxillofacial Surgery, P.C.

  dba Pedro F. Franco, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Irving, TX
  • NPI 1356526081
  NPD (past)
• Metroplex Ora L and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Mesquite, TX
  • NPI 1528243094
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1073049623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2762 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504859",
            "telephone_number": "972-698-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2762 N GALLOWAY AVE STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504859",
            "telephone_number": "972-698-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDRAKANTI",
        "first_name": "SHYAM SUNDER",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2024-01-09",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "38305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Ighile
• John Patrick Ignalaga
• Obianaju Nicole Ikegbunam, MD
• Impressive Transport Services LLC
• Radhika D Inaganti
• Infinity Pharmaceuticals LLC
• Katie Ingram, CPNP-PC
• Innate Medical Solutions PLLC
• Innergrowth Therapy Solutions, PLLC
• Innovative Health & Wellness Mesquite Series

• Oral and Maxillofacial Surgery (Dentist) in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.