Naga S Tripuraneni

Primary specialty

SpecialistTaxonomy code 174400000X

License

L8985 Issued in TX

Legal business name

NAGA S TRIPURANENI

Practice address

1014 Memorial Dr Ste G12
Denison, TX 75020-2090

Phone

(903) 465-1857

Fax

(903) 327-8023

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Diana P Ricks

Title

Credentialling Coordinator

Phone

(903) 465-1857

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255419404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2275",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750212275",
            "telephone_number": "903-465-1857",
            "fax_number": "903-327-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MEMORIAL DR STE G12",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202090",
            "telephone_number": "903-465-1857",
            "fax_number": "903-327-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGA S TRIPURANENI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CREDENTIALLING COORDINATOR",
        "authorized_official_telephone_number": "903-465-1857",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Denison, TX
• Providers in Denison, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.