Active NPI
Soujanya Maddipati
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1093129355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30074
- Practice address
- 10527- A Gulf Freeway
Houston, TX 77034 - Phone
- (214) 460-6610
- NPI assigned
- Jun 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0030074 | VA | |
| General Practice Dentistry | 1223G0001X | 30074 | TX | Primary |
Addresses
Primary practice location
10527- A Gulf Freeway
Houston, TX 77034
Mailing address
11830 Chase Wellesley Dr Apt 1517
Richmond, VA 23233-7777
Phone (405) 240-6651
Other names 1
- Soujanya Kottapalli
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 |
|---|---|---|---|
| 0030074 | VA | MD | Dentist |
| 30074 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trudental Solutions PLLC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Houston, TX
- NPI 1508580028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1093129355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11830 CHASE WELLESLEY DR APT 1517",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232337777",
"telephone_number": "405-240-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10527- A GULF FREEWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77034",
"telephone_number": "214-460-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDIPATI",
"first_name": "SOUJANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0030074",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOUJANYA",
"last_name": "KOTTAPALLI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.