Tulasi Priya Kondapalli, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40825 Issued in TX

Practice address

1439 N Highway 77 # 101
Waxahachie, TX 75165-5120

Phone

(469) 701-3460

NPI assigned

Jul 20, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2024.

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1306684535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 N HIGHWAY 77 # 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655120",
            "telephone_number": "469-701-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 N HIGHWAY 77 # 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655120",
            "telephone_number": "469-701-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDAPALLI",
        "first_name": "TULASI PRIYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kline, MA, LPC
• Ashton Terry Klouda, PHARMD
• Abby Grace Knight
• Chandana Koduru, M.D.
• Rajan S Kohli, M.D
• Jeffrey Paul Kosoris, D.D.S.
• Gregory P Kroeger, MD
• Kayla Janae Kruse, PTA
• Andrew Lee Kubin, PA-C, LAT
• Michael Kubin

• All providers in Waxahachie, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.