Individual provider Active NPI

Kiran M Yanala, DMD

  • Dentist
  • Austin, TX
National Provider Identifier
1538473756
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26283 Issued in TX
Practice address
2110 W Slaughter LN Ste 190
Austin, TX 78748-5997
Phone
(512) 593-4465
NPI assigned
Jul 29, 2010
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD3587 NM
Dentist 122300000X 26283 TX Primary

Addresses

Primary practice location

2110 W Slaughter LN Ste 190
Austin, TX 78748-5997

Mailing address

1408 W Camino del Arco
Hobbs, NM 88240-0979
Phone (973) 220-4615

Other practice location 1

1408 W Camino Del Arco
Hobbs, NM 88240-0979
Phone (973) 220-4615

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
DD3587NMMDDentist
26283TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1538473756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W CAMINO DEL ARCO",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882400979",
            "telephone_number": "973-220-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 W SLAUGHTER LN STE 190",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485997",
            "telephone_number": "512-593-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 W Camino Del Arco",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882400979",
            "country_code": "US",
            "telephone_number": "973-220-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANALA",
        "first_name": "KIRAN",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3587",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.