Individual provider Active NPI

Kalpana Sunkireddy Bakkireddy, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1194965293
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31732 Issued in TX
Practice address
4505 Spicewood Springs Rd
Austin, TX 78759-8505
Phone
(732) 267-8090
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31732 TX
General Practice Dentistry 1223G0001X DS037736 PA
General Practice Dentistry 1223G0001X 22D102401200 NJ
General Practice Dentistry 1223G0001X 31732 TX Primary

Addresses

Primary practice location

4505 Spicewood Springs Rd
Austin, TX 78759-8505

Mailing address

4505 Spicewood Springs Rd
Austin, TX 78759-8505
Phone (732) 267-8090

Other practice location 1

58 Denise Dr
Edison, NJ 08820-4603
Phone (732) 267-8090

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

LicenseStateTypeSpecialty
22D102401200NJMDGeneral Practice Dentistry
DS037736PAMDGeneral Practice Dentistry
31732TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Teeth Family Dentistry Past Accepting new patients

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": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1194965293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SPICEWOOD SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598505",
            "telephone_number": "732-267-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SPICEWOOD SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598505",
            "telephone_number": "732-267-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Denise Dr",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088204603",
            "country_code": "US",
            "telephone_number": "732-267-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNKIREDDY BAKKIREDDY",
        "first_name": "KALPANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31732",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037736",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102401200",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.