Active NPI
Meenakshi Devarakonda
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1255716668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31293
- Practice address
- 3030 LBJ Fwy
Suite 1400
Dallas, TX 75234-7781 - Phone
- (972) 663-5314
- NPI assigned
- Jul 27, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31293 | TX | Primary |
Addresses
Primary practice location
3030 LBJ Fwy
Suite 1400
Dallas, TX 75234-7781
Mailing address
550 Gene Friend Way
Apt #506
San Francisco, CA 94158-2281
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1255716668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GENE FRIEND WAY",
"address_2": "APT #506",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LBJ FWY",
"address_2": "SUITE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347781",
"telephone_number": "972-663-5314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVARAKONDA",
"first_name": "MEENAKSHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.