Individual provider Active NPI

Durga V Devarakonda, D.M.D

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1477837441
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30832 Issued in TX
Practice address
1111 W Frankford Rd
Suite 101
Carrollton, TX 75007-4944
Phone
(972) 245-3395
Fax
(972) 245-3953
NPI assigned
Oct 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30832 TX Primary

Addresses

Primary practice location

1111 W Frankford Rd
Suite 101
Carrollton, TX 75007-4944

Mailing address

1111 W Frankford Rd
Suite 101
Carrollton, TX 75007-4944
Phone (972) 245-3395

Other names 1

  • Dr. Venkata Durga Varanasi Other 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

State licenses

LicenseStateTypeSpecialty
30832TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1477837441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FRANKFORD RD",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074944",
            "telephone_number": "972-245-3395",
            "fax_number": "972-245-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FRANKFORD RD",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074944",
            "telephone_number": "972-245-3395",
            "fax_number": "972-245-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARAKONDA",
        "first_name": "DURGA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENKATA",
            "last_name": "VARANASI",
            "middle_name": "DURGA",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.