Venkateshwar Reddy Kommidi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

26528 Issued in TX

Practice address

1811 Highway 287 N Ste 160.Mansfield,TX 76063-7571
Ste 160
Mansfield, TX 76063-7571

Phone

(817) 405-2260

NPI assigned

Jul 5, 2011

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

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

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1205123726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 LBJ FWY",
            "address_2": "STE.200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347770",
            "telephone_number": "502-619-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HIGHWAY 287 N STE 160.MANSFIELD,TX 76063-7571",
            "address_2": "STE 160",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637571",
            "telephone_number": "817-405-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMIDI",
        "first_name": "VENKATESHWAR",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Ross Knox
• Max W Koch
• Dayo Oluwaseun Kolawole, NP
• Carolyn Kollar, D.O.
• Komfot Provider Services LLC
• Babatunde O. Komolafe, MD
• Minnie Koo, DMD
• Katie Carol Kotzur
• Tammie Joan Kramer, RN FNP
• Davy Krang

• Dentist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.