Active NPI
Suman Reddy Nalla, DMD
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1386734259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25949
- Practice address
- 3310 Live Oak St
Suite 200
Dallas, TX 75204-6153 - Phone
- (214) 827-1305
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3263 | NH | |
| General Practice Dentistry | 1223G0001X | 25949 | TX | Primary |
Addresses
Primary practice location
3310 Live Oak St
Suite 200
Dallas, TX 75204-6153
Mailing address
3310 Live Oak St
Suite 200
Dallas, TX 75204-6153
Phone (214) 827-1305
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3263 | NH | MD | Dentist |
| 25949 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amerismiles Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Dallas, TX
- NPI 1396049698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1386734259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 LIVE OAK ST",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046153",
"telephone_number": "214-827-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 LIVE OAK ST",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046153",
"telephone_number": "214-827-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLA",
"first_name": "SUMAN",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "3263",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25949",
"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 Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.