Sruthi Katamneni, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39744 Issued in TX

Practice address

Jefferson Dental & Orthodontics
4396 Tom Landry Fwy, I-30
Dallas, TX 75223

Phone

(214) 451-2424

NPI assigned

Jun 15, 2023

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

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1689358996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7797 EDELWEISS TRL",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340381",
            "telephone_number": "681-888-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JEFFERSON DENTAL & ORTHODONTICS",
            "address_2": "4396 TOM LANDRY FWY, I-30",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75223",
            "telephone_number": "214-451-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAMNENI",
        "first_name": "SRUTHI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Lee Kasten, LPC
• Heather Kasten, PA-C
• Galit Kastner, MD
• Lauren Marie Kastner, M.D.
• Maggie Abwo Kasto I
• Kate Miller Inc.
• Kate Tran PA
• Mary Camille Kateb, RN, PNP APRN,BC
• Katherine Day Mitchell, MD, PLLC
• Katherine Pang PHD PC

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 Jun 23, 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.