Individual provider Active NPI

Lakshmi Venigalla, D.D.S

  • Dentist
  • Dallas, TX
National Provider Identifier
1669555942
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29886 Issued in TX
Practice address
3335 W Wheatland Rd
Dallas, TX 75237
Phone
(217) 220-0258
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29886 TX Primary
Dentist 122300000X 13878 MD

Addresses

Primary practice location

3335 W Wheatland Rd
Dallas, TX 75237

Mailing address

8517 Forest Highlands Dr
Plano, TX 75024-7710
Phone (217) 220-0258

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
29886TXMDDentist
13878MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1669555942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 FOREST HIGHLANDS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247710",
            "telephone_number": "217-220-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "217-220-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENIGALLA",
        "first_name": "LAKSHMI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29886",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.