Mark Anthony Venincasa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15273 Issued in TX

Practice address

17330 Preston Rd
Suite 116-D
Dallas, TX 75252-5728

Phone

(972) 250-2580

Fax

(972) 250-0134

NPI assigned

Jun 6, 2006

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255370060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 PRESTON RD",
            "address_2": "SUITE 116-D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525728",
            "telephone_number": "972-250-2580",
            "fax_number": "972-250-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 PRESTON RD",
            "address_2": "SUITE 116-D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525728",
            "telephone_number": "972-250-2580",
            "fax_number": "972-250-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENINCASA",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos L. Venegas, M.D.
• Cristal Venegas
• Gonzalo Venegas, MD
• Noelle Venett, DNP, CRNA
• Lakshmi Venigalla, D.D.S
• Bhavani Venkatachalam, DMD, MS
• Abhijeet Venkataraman
• Nanditha Venkatesan, MD
• Naren Natraj Venkatesan, MD
• Radha L Venkatesan, CRNA

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 13, 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.