Deepti Namineni, D.D.S.,

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27945 Issued in TX

Practice address

325 W Westchester Pkwy Ste 300
Grand Prairie, TX 75052-2854

Phone

(972) 262-5593

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Simple Dentist PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
  • NPI 1215320593
  NPD Authorized official

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1639433089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CALCOT DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196610",
            "telephone_number": "646-241-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W WESTCHESTER PKWY STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522854",
            "telephone_number": "972-262-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMINENI",
        "first_name": "DEEPTI",
        "credential": "D.D.S.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Mavis Adukwei Myers-Tackie, CNP
• N. Carrier Parkway, PC (Carrier Parkway Dental Group)
• Wisam Nachawati, DO
• Justin Thomas Nadeau, ATC, LAT
• Nafiz
• Janet A Nash, NP
• National Hearing Centers (Amplifon Hearing Aid Centers)
• National Seating & Mobility, Inc.
• National Seating & Mobility, Inc.
• National Vision Inc (America's Best Contacts & Eyeglasses)

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.