Active NPI
Devisree Nekkanti, DMD
- Dentist
- Austin, TX
National Provider Identifier
1093294233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35850
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45859384 | Other | TX | DRIVERS LISCENCE |
| 1093294233 | Medicaid | TX |
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 |
|---|---|---|---|
| 35850 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ak Dental PLLC | General Practice | Current | Accepting new patients |
| Ak Dental of North Austin PLLC | Current | 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.
-
- Dental Clinic/Center
- Austin, TX
- NPI 1891678264
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.