Individual provider Active NPI

Mounika Akula, DDS

  • Dentist
  • Plano, TX
National Provider Identifier
1558995274
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39039 Issued in TX
Practice address
West Plano Modern Dentistry
6202 W Park Blvd
Plano, TX 75093
Phone
(972) 403-7364
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39039 TX Primary

Addresses

Primary practice location

West Plano Modern Dentistry
6202 W Park Blvd
Plano, TX 75093

Mailing address

749 Rock Springs Rd
Coppell, TX 75019-6830
Phone (803) 338-4295

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
24684FLMDGeneral Practice Dentistry
24694FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Dentist CurrentSince Mar 13, 2022 Accepting new patients
Coast Florida P.a. Dentist CurrentSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. Dentist PastSince Mar 1, 2020 Accepting new patients

Locations

2907 Vineland Rd
Kissimmee, FL 34746
Phone (407) 396-1288

2500 W Lake Mary Blvd
Ste 106
Lake Mary, FL 32746
Phone (407) 328-6411

Organizations & group practices 3

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1558995274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 ROCK SPRINGS RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196830",
            "telephone_number": "803-338-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST PLANO MODERN DENTISTRY",
            "address_2": "6202 W PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-403-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKULA",
        "first_name": "MOUNIKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.