Individual provider Active NPI

Prathima Mallempalli, DDS

  • General Practice Dentistry
  • Buda, TX
National Provider Identifier
1174405047
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41733 Issued in TX
Practice address
15550 S I-35 Frontage Rd
Ste 110
Buda, TX 78610
Phone
(512) 265-8427
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41733 TX Primary

Addresses

Primary practice location

15550 S I-35 Frontage Rd
Ste 110
Buda, TX 78610

Mailing address

177 Tangerine Dr
Buda, TX 78610-3685
Phone (650) 250-9375

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brush32 Dental of Buda PLLC CurrentSince Jul 28, 2025 Accepting new patients

Locations

15550 S Ih 35
Ste 110
Buda, TX 78610
Phone (512) 265-8427

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1174405047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 TANGERINE DR",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786103685",
            "telephone_number": "650-250-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 S I-35 FRONTAGE RD",
            "address_2": "STE 110",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "78610",
            "telephone_number": "512-265-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEMPALLI",
        "first_name": "PRATHIMA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "41733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.