Active NPI
Sandeep Talluri
- Dentist
- Hereford, TX
National Provider Identifier
1245953876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39069
- Practice address
- 701 N 25 Mile Ave Ste 110
Hereford, TX 79045-3056 - Phone
- (806) 230-6209
- NPI assigned
- Sep 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39069 | TX | Primary |
Addresses
Primary practice location
701 N 25 Mile Ave Ste 110
Hereford, TX 79045-3056
Mailing address
701 N 25 Mile Ave Ste 110
Hereford, TX 79045-3056
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39069 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1245953876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N 25 MILE AVE STE 110",
"city": "HEREFORD",
"state": "TX",
"postal_code": "790453056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 25 MILE AVE STE 110",
"city": "HEREFORD",
"state": "TX",
"postal_code": "790453056",
"telephone_number": "806-230-6209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLURI",
"first_name": "SANDEEP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hereford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.