Lakshmi Prathyusha Nannapaneni, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN24565 Issued in FL

Practice address

3781 S Nova Rd Ste B
Port Orange, FL 32129-4285

Phone

(386) 788-8388

NPI assigned

Apr 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1730614157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 PHEASANT RIDGE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286982",
            "telephone_number": "513-926-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 S NOVA RD STE B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294285",
            "telephone_number": "386-788-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Pennsville",
            "state": "NJ",
            "postal_code": "080701248",
            "country_code": "US",
            "telephone_number": "856-299-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANNAPANENI",
        "first_name": "LAKSHMI",
        "middle_name": "PRATHYUSHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-23",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02666200",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Tattersall Murray, PSYD
• Lisa Evelyn Murray, D.C.
• Mandy Murray, BCBA
• Bernadett Nagy, RBT
• Lara J. Nance, ANP
• Sandra Elizabeth Navas Lopez, MS CCC-SLP
• Andres Oscar Nazario, DC
• Tonya W Neimeic, MA, CCC-SLP-L
• Jonathan Richard Nelson III, LCSW, MCAP
• Kimberly Nelson

• Dentist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.