Organization Active NPI

Simple Dentist PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1215320593
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27945 Issued in TX
Legal business name
SIMPLE DENTIST PLLC
Practice address
325 W Westchester Pkwy Ste 300
Grand Prairie, TX 75052-2854
Phone
(917) 376-4408
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. Deepti Namineni, DDSNPI 1639433089
Title
Managing Member
Phone
(646) 241-4964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 27945 TX Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

325 W Westchester Pkwy Ste 300
Grand Prairie, TX 75052-2854

Mailing address

325 W Westchester Pkwy Ste 300
Grand Prairie, TX 75052-2854
Phone (917) 376-4408

National Provider Directory

National Provider Directory

Locations

325 W Westchester Pkwy
Ste 300
Grand Prairie, TX 75052
Phone (917) 376-4408

4116 S Carrier Pkwy
Ste 320
Grand Prairie, TX 75052
Phone (972) 262-5522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1215320593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W WESTCHESTER PKWY STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522854",
            "telephone_number": "917-376-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W WESTCHESTER PKWY STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522854",
            "telephone_number": "917-376-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE DENTIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "NAMINENI",
        "authorized_official_first_name": "DEEPTI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "646-241-4964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27945",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.