Manjusha Tummala, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24902 Issued in TX

Practice address

6500 Denton Hwy Ste B1
Watauga, TX 76148-2526

Phone

(817) 428-4005

NPI assigned

Aug 3, 2009

Sex

Female

Sole proprietor

Yes

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.

• Guru Datta PLLC

  • Dentist
  • Watauga, TX
  • NPI 1295514651
  NPD Authorized official

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1679704076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 BANBURY RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192063",
            "telephone_number": "848-391-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 DENTON HWY STE B1",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482526",
            "telephone_number": "817-428-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4032 McDermott Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750247738",
            "country_code": "US",
            "telephone_number": "214-730-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "MANJUSHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Wayne Townsley II
• Binh James Tran, OD
• Helen Tran
• Tiffaney Tregellas, O. D.
• Jennifer Duyen Trinh, D.O.
• Urgent Care Clinics of North Texas Inc
• Ashley Valamides, LMSW
• Visionworks, Inc.
• Vital Spine Therapy LLC
• Nicole L Wagner, PHARMD

• General Practice Dentistry in Watauga, TX
• Providers in Watauga, 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 Oct 15, 2023; 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.