Active NPI
Chaitanya Joopally, D.D.S
- Dentist
- Amarillo, TX
National Provider Identifier
1508171158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0025787
- Practice address
- 206 NE 7TH Ave
Amarillo, TX 79107-5214 - Phone
- (888) 988-4066
- NPI assigned
- Aug 6, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0025787 | TX | Primary |
Addresses
Primary practice location
206 NE 7TH Ave
Amarillo, TX 79107-5214
Mailing address
4030 Alan Dr
Largo, FL 33771-5208
Phone (248) 229-4970
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0025787 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1508171158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 ALAN DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337715208",
"telephone_number": "248-229-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 NE 7TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791075214",
"telephone_number": "888-988-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOOPALLY",
"first_name": "CHAITANYA",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-06",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "0025787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.