Lea County Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEA COUNTY DENTAL

Practice address

701 N Main Ave
Lovington, NM 88260-3417

Phone

(408) 306-8365

NPI assigned

Feb 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nishanth Reddy Puchalapalli, DDSNPI 1770847436

Title

Dentist

Phone

(408) 306-8365

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nishanth Reddy Puchalapalli, DDS

  • General Practice Dentistry
  • Lovington, NM
  • NPI 1770847436

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1679931356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882603417",
            "telephone_number": "408-306-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882603417",
            "telephone_number": "408-306-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA COUNTY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "PUCHALAPALLI",
        "authorized_official_first_name": "NISHANTH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-306-8365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulcie Sultemeier Langehennig, M.S., CCC-SLP
• Terri Lynn Langford, M.D.
• Shawna L Larry
• Nydjia C. Lawrence, FNP-C
• Quan Dang Le, M.D
• Rhona Lee, RN
• Racquel Yvette Leyva, LMSW
• Liliana Alexis Lopez, MS, CF-SLP
• Elizabeth Wiygul Love, ED.S.
• Lovington Care Holdings LLC

• All providers in Lovington, NM
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.