Active NPI
Sandeep Menupati
- Primary Care Clinic/Center
- Dallas, TX
National Provider Identifier
1124938055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Practice address
- 17762 Preston Rd Ste 222
Dallas, TX 75252-5730 - Phone
- (945) 261-9561
- NPI assigned
- Sep 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | TX | ||
| Primary Care Clinic/Center | 261QP2300X | TX | Primary |
Addresses
Primary practice location
17762 Preston Rd Ste 222
Dallas, TX 75252-5730
Mailing address
17762 Preston Rd Ste 222
Dallas, TX 75252-5730
Phone (945) 261-9561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1124938055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17762 PRESTON RD STE 222",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525730",
"telephone_number": "945-261-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17762 PRESTON RD STE 222",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525730",
"telephone_number": "945-261-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENUPATI",
"first_name": "SANDEEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.