Individual provider Active NPI

Padmalatha Kommineni

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1265660948
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57869 Issued in CA
Practice address
1491 White LN
Bakersfield, CA 93307-4677
Phone
(661) 827-9183
Fax
(661) 827-9185
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57869 CA Primary

Addresses

Primary practice location

1491 White LN
Bakersfield, CA 93307-4677

Mailing address

4000 Scenic River LN
Apt 3D
Bakersfield, CA 93308-7504
Phone (661) 679-4259

Other names 1

  • Padmalatha Boyapati Former name

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1265660948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SCENIC RIVER LN",
            "address_2": "APT 3D",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933087504",
            "telephone_number": "661-679-4259",
            "fax_number": "661-679-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074677",
            "telephone_number": "661-827-9183",
            "fax_number": "661-827-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMINENI",
        "first_name": "PADMALATHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PADMALATHA",
            "last_name": "BOYAPATI",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.