Active NPI
North Dallas Epilepsy, PLLC
- Neurology Physician
- Richardson, TX
National Provider Identifier
1558719682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M7461
- Legal business name
- NORTH DALLAS EPILEPSY, PLLC
- Practice address
- 4716 Ravendale Dr
Richardson, TX 75082-3835 - Phone
- (972) 860-9024
- Fax
- (972) 525-8845
- NPI assigned
- May 31, 2016
- Last updated
- Feb 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Venkatesh Nagaraddi, MD
- Title
- Managing Member
- Phone
- (972) 860-9024
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M7461 | TX | Primary |
Addresses
Primary practice location
4716 Ravendale Dr
Richardson, TX 75082-3835
Mailing address
4716 Ravendale Dr
Richardson, TX 75082-3835
Phone (972) 860-9024
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Richardson, TX
- NPI 1447381728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581379200000",
"number": "1558719682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 RAVENDALE DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823835",
"telephone_number": "972-860-9024",
"fax_number": "972-525-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 RAVENDALE DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823835",
"telephone_number": "972-860-9024",
"fax_number": "972-525-8845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH DALLAS EPILEPSY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-31",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A",
"authorized_official_last_name": "NAGARADDI",
"authorized_official_first_name": "VENKATESH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "972-860-9024",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M7461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
- North American Custom Laboratories LLC (North American Custom Laboratories)
- North Central Dental Services PLLC (Sunrise Dental)
- North Dallas County Homecare LLC (Here for You HomeCare)
- North Dallas Digestive Disease
- North Dallas Ear, Nose, and Throat PA
- North Dallas Family Care PA (Adrian Meyer)
- North Dallas Imaging Providers, LLC
- North Dallas Physical Therapy Associates PC (North Dallas Physical Therapy and Work Hardening)
- North Dallas Primary Care P.a
- North Dallas Surgical Specialists, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.