Active NPI
Durga Talla, DDS
- General Practice Dentistry
- Levittown, PA
National Provider Identifier
1114059094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS037590
- Practice address
- 63 Lakeside Dr
Levittown, PA 19054-3901 - Phone
- (215) 943-0213
- Fax
- (215) 943-0998
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- 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 | 9534 | CO | |
| General Practice Dentistry | 1223G0001X | DS037590 | PA | Primary |
Addresses
Primary practice location
63 Lakeside Dr
Levittown, PA 19054-3901
Mailing address
63 Lakeside Dr
Levittown, PA 19054-3901
Phone (215) 943-0213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02558309 | Medicaid | NY |
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 |
|---|---|---|---|
| 9534 | CO | MD | General Practice Dentistry |
| DS037590 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heinbach and Gordon, D.D.S. P.C. | General Practice | Past | Accepting new patients |
| Anjali and Kumar, P.C | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Levittown, PA
- NPI 1174891410
-
- General Practice Dentistry
- Levittown, PA
- NPI 1770614174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1114059094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 LAKESIDE DR",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190543901",
"telephone_number": "215-943-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 LAKESIDE DR",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190543901",
"telephone_number": "215-943-0213",
"fax_number": "215-943-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLA",
"first_name": "DURGA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9534",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS037590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02558309",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, PA
- Sun Dental Specialty, LLC
- Susan Dominik (Five Points Chiropractic Center)
- Benjamin Matthew Sussman, D.O.
- Sweetbriar Family Medicine, PC
- Emily Szafara, LCSW
- Michael S Taptykoff, D.O.
- Andrew Robert Tarry, D.C.
- Harlie Nicole Taylor, OTR/L
- The Chiropractic & Injury Center of Langhorne, LLC
- The Elite Labs Group PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.