Active NPI
Venkata Krishna Digumarthi, D.D.S
- Dentist
- Langston, OK
National Provider Identifier
1548575889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6550
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104003732 | OK | Order and Referring Only - Dentist | 1355640400 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1265415806
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1376725812
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.