North Dallas Epilepsy, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

M7461 Issued in TX

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

• North American Custom Laboratories LLC
• North Central Dental Services PLLC
• North Dallas County Homecare LLC
• North Dallas Digestive Disease
• North Dallas Ear, Nose, and Throat PA
• North Dallas Family Care PA
• North Dallas Imaging Providers, LLC
• North Dallas Physical Therapy Associates PC
• North Dallas Primary Care P.a
• North Dallas Surgical Specialists, PA

• Neurology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Neurology Physician in Texas

• 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.

Verify at the official NPI Registry.