Active NPI
Venkata Pasupuleti, DDS
- General Practice Dentistry
- Lamesa, TX
National Provider Identifier
1720534266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32312
- Practice address
- 311 N Dallas Ave
Lamesa, TX 79331-5519 - Phone
- (806) 870-5555
- NPI assigned
- Aug 25, 2016
- Last updated
- Aug 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32312 | TX | Primary |
Addresses
Primary practice location
311 N Dallas Ave
Lamesa, TX 79331-5519
Mailing address
311 N Dallas Ave
Lamesa, TX 79331-5519
Phone (806) 870-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32312 | Other | TX | STATE BOARD OF DENTAL EXAMINERS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32312 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maa Crystal Dental | Current | Accepting new patients | |
| Maa Cotulla Dental | Current | Accepting new patients | |
| Lamesa Dental, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Cotulla, TX
- NPI 1831982248
-
- Dentist
- Crystal City, TX
- NPI 1235922659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1720534266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N DALLAS AVE",
"city": "LAMESA",
"state": "TX",
"postal_code": "793315519",
"telephone_number": "806-870-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N DALLAS AVE",
"city": "LAMESA",
"state": "TX",
"postal_code": "793315519",
"telephone_number": "806-870-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASUPULETI",
"first_name": "VENKATA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF DENTAL EXAMINERS",
"identifier": "32312",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lamesa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.