Prasada Venkata Sanku Lakshmi, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

25751 Issued in TX

Practice address

2223 Veteran's Blvd;
Amistad Dentistry
Del Rio, TX 78840-3120

Phone

(830) 775-2431

Fax

(830) 775-7418

NPI assigned

Jul 14, 2010

Last updated

Apr 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amistad Dentistry

  • Dentist
  • Del Rio, TX
  • NPI 1851667372
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1134432594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 VETERAN'S BLVD;",
            "address_2": "AMISTAD DENTISTRY",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403120",
            "telephone_number": "830-775-2431",
            "fax_number": "830-775-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 VETERAN'S BLVD;",
            "address_2": "AMISTAD DENTISTRY",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403120",
            "telephone_number": "830-775-2431",
            "fax_number": "830-775-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKU LAKSHMI",
        "first_name": "PRASADA",
        "middle_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Salas
• Ambar Salazar
• Hayley Gillen Salem, PT, DPT
• San Felipe del Rio Cisd
• Sylvia Sanchez
• Sandra Y Seca, LPC
• Shamoon Doctor, MD PA
• Shannon Clinic (Vista Verde Medical Plaza)
• Patricia Jean Sitzes, SLP
• Tiffany R Smith-Hurt, L.C.S.W.

• Dentist in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.