Individual provider Active NPI

Devisree Nekkanti, DMD

  • Dentist
  • Austin, TX
National Provider Identifier
1093294233
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35850 Issued in TX
Practice address
7010 W Highway 71 Ste 225
Austin, TX 78735-8341
Phone
(732) 428-9958
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35850 TX
Dentist 122300000X 35850 TX Primary

Addresses

Primary practice location

7010 W Highway 71 Ste 225
Austin, TX 78735-8341

Mailing address

16301 Donoher Dr
Austin, TX 78717-4203
Phone (732) 428-9958

Other identifiers 2

IdentifierTypeStateIssuer
45859384OtherTXDRIVERS LISCENCE
1093294233MedicaidTX

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

LicenseStateTypeSpecialty
35850TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ak Dental PLLC General Practice CurrentSince Jul 17, 2022 Accepting new patients
Ak Dental of North Austin PLLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

7010 W Highway 71
Ste 225
Austin, TX 78735
Phone (512) 288-0400

10000 Research Blvd
Ste 260
Austin, TX 78759
Phone (512) 338-9400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1093294233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16301 DONOHER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174203",
            "telephone_number": "732-428-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 W HIGHWAY 71 STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358341",
            "telephone_number": "732-428-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKKANTI",
        "first_name": "DEVISREE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35850",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LISCENCE",
            "identifier": "45859384",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093294233",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.