Prakash Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DD3275 Issued in NM

Legal business name

PRAKASH DENTISTRY, LLC

Practice address

3111 Eubank Blvd NE Ste B
Albuquerque, NM 87111-4875

Phone

(505) 296-5458

NPI assigned

Jul 26, 2017

Last updated

Jul 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nagashree Prakash, DDSNPI 1811159247

Title

Dr.

Phone

(408) 582-2611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nagashree Balur Prakash, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1811159247
  NPD Authorized official

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1407370018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 LAS BRISAS CIR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248952",
            "telephone_number": "408-582-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 EUBANK BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114875",
            "telephone_number": "505-296-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "NAGASHREE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "408-582-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Practical Therapy Inc.
• Alyssa D Prado, OTD
• Lydia Esther Prado, M.D.
• Kim Raleigh Prairie, CNM
• Regina Prairie
• Nagashree Balur Prakash, DDS
• Gary D Prant, DPM
• Surasri Prapasiri, M.D.
• Haley Elizabeth Jessica Prather
• Katelyn N Pratico Weatherred, LMHC, CSW

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.