Suhrudwamsi Musunuri, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39597 Issued in TX

Practice address

1295 S Highway 183 Ste 103
Leander, TX 78641-4557

Phone

(512) 690-2968

NPI assigned

May 8, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1255021903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 S HIGHWAY 183 STE 103",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414557",
            "telephone_number": "512-690-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 S HIGHWAY 183 STE 103",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414557",
            "telephone_number": "512-690-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSUNURI",
        "first_name": "SUHRUDWAMSI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mosley, LMFTA
• Lourdes Mowad, P.A.
• MSK Heartfelt Home Care LLC (HomeWell Care Services)
• Mersadez Munoz
• Willie Munoz
• My 20 20 LLC
• David C. Myhre, D.D.S.
• N1 Sports Rehab & Performance
• Afsha Naimat-Shahzad, DPM
• National Military Empowerment Organization

• General Practice Dentistry in Leander, TX
• Providers in Leander, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.