Individual provider Active NPI

Venkata Krishna Digumarthi, D.D.S

  • Dentist
  • Langston, OK
National Provider Identifier
1548575889
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6550 Issued in OK
Practice address
300 N Martin Luther King Street
L
Langston, OK 73050
Phone
(806) 318-3909
NPI assigned
Aug 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6550 OK Primary

Addresses

Primary practice location

300 N Martin Luther King Street
L
Langston, OK 73050

Mailing address

17429 Hawks Tree LN
Edmond, OK 73012-7079
Phone (806) 367-0989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104003732 OK Order and Referring Only - DentistPractitioner - Dentist 1355640400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers Inc. Past Accepting new patients
Community Health Centers Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1548575889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17429 HAWKS TREE LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127079",
            "telephone_number": "806-367-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MARTIN LUTHER KING STREET",
            "address_2": "L",
            "city": "LANGSTON",
            "state": "OK",
            "postal_code": "73050",
            "telephone_number": "806-318-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGUMARTHI",
        "first_name": "VENKATA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langston, OK

Sources for this page

Verify at the official NPI Registry.