Venkata Ramana Reddy Nalla

Primary specialty

DentistTaxonomy code 122300000X

License

29422 Issued in TX

Practice address

2903 50TH St
Lubbock, TX 79413-4323

Phone

(806) 589-3366

NPI assigned

Jul 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1316389604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 RANCHVIEW DR",
            "address_2": "APT#1043",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637688",
            "telephone_number": "770-778-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134323",
            "telephone_number": "806-589-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLA",
        "first_name": "VENKATA RAMANA REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3929",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laszlo Nagy, M.D.
• Nicodemus Wuantai Naimodu, RN
• Miguel Christian Najera, PA-C
• Amy Najjar, OTR
• Brent Boye Nall, M.D.
• Chetan Kumar Nanjegowda, M.D
• Teerapat Nantsupawat, MD
• Roy Ano Napuli, CRNA
• Elisa Naranjo
• Narayan Hegde MD PA

• Dentist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.