Yasoda Vardhani Boyapati, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28310 Issued in TX

Practice address

1300 S Gregg St
Big Spring, TX 79720-4325

Phone

(432) 517-4557

Fax

(432) 517-4556

NPI assigned

Jul 29, 2012

Last updated

Feb 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Wee Care Dental PA

  dba Wee Care Dental

  • General Practice Dentistry
  • Crane, TX
  • NPI 1124503354
  NPD Authorized official

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1164778080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FM 300",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366235",
            "telephone_number": "806-894-7842",
            "fax_number": "806-894-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREGG ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204325",
            "telephone_number": "432-517-4557",
            "fax_number": "432-517-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAPATI",
        "first_name": "YASODA VARDHANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281971602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pattie Blakeney
• Body Focus PA (Body Focus Spa and Wellness Center)
• Body Focus, P.a.
• Hali Bohr, OTR
• Amir Botros
• Bridget Elaine Brewster
• David Brito, MT(ASCP)
• Tina Gayle Broughton, RN
• Dara Brown, LPC
• Wendy Walker Brown, R.PH.

• General Practice Dentistry in Big Spring, TX
• Providers in Big Spring, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.