Individual provider Active NPI

Pujitha Talasila, DMD

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1598387177
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41805 Issued in TX
Practice address
14891 Preston Rd Ste 200
Dallas, TX 75254-7870
Phone
(972) 661-2766
NPI assigned
May 17, 2020
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109365 CA
General Practice Dentistry 1223G0001X 22DI02859200 NJ
General Practice Dentistry 1223G0001X 41805 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

14891 Preston Rd Ste 200
Dallas, TX 75254-7870

Mailing address

14891 Preston Rd Ste 200
Dallas, TX 75254-7870
Phone (972) 661-2766

Other practice location 1

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000 ext. 61688

Other practice location 2

18102 Culver Dr
Irvine, CA 92612-2730
Phone (949) 774-2139

Other practice location 3

A2 Cornwall Dr
East Brunswick, NJ 08816-3352
Phone (732) 254-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240201004362 CA Order and Referring Only - DentistPractitioner - Dentist 3678926995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109365CAMDClinical Social Worker
22DI02859200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deepika Dhama, D.D.S. Dentist CurrentSince Nov 1, 2023 Accepting new patients
Preston Modern Dentistry, PC General Practice PastSince Aug 17, 2025 Accepting new patients

Locations

18102 Culver Dr
Irvine, CA 92612
Phone (657) 241-8220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1598387177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14891 PRESTON RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547870",
            "telephone_number": "972-661-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14891 PRESTON RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547870",
            "telephone_number": "972-661-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 James St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203947",
            "country_code": "US",
            "telephone_number": "732-321-7000 x61688",
            "fax_number": "732-767-2970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18102 Culver Dr",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926122730",
            "country_code": "US",
            "telephone_number": "949-774-2139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "A2 Cornwall Dr",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088163352",
            "country_code": "US",
            "telephone_number": "732-254-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALASILA",
        "first_name": "PUJITHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109365",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02859200",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "41805",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.