Sowmya Renuka, BDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

33666 Issued in TX

Practice address

4200 South Fwy
Fort Worth, TX 76115-1400

Phone

(309) 660-2120

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2018.

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1609375658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 COWBOYS PKWY APT 2099",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637733",
            "telephone_number": "309-660-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151400",
            "telephone_number": "309-660-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENUKA",
        "first_name": "SOWMYA",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "33666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Reno, CNM
• Theresa Reno, MD PHD
• Rose Ann Renouf, CRNA
• Rachel A Renteria
• Dania Rentz, PA
• Renwa Anesthesia, PLLC
• Nelson Adam Reppert, R.D.
• Walberto Jaime Resendez, BCBA
• Residential Care at the Summit, LLC
• Resilience Renewed LLC

• All providers in Fort Worth, TX
• Public Health Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.