Active NPI
Rama Krishna Miyapuram, DMD
- Dentist
- Haltom City, TX
National Provider Identifier
1750538005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25217
- Practice address
- 5201 E Belknap St
Haltom City, TX 76117-4608 - Phone
- (817) 529-1791
- Fax
- (817) 529-1794
- NPI assigned
- Aug 19, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 25217 | TX | Primary |
Addresses
Primary practice location
5201 E Belknap St
Haltom City, TX 76117-4608
Mailing address
125 Amberwood Dr
Coppell, TX 75019-7969
Phone (203) 606-3155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625001991 | TX | Order and Referring Only - Dentist | 1456662808 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25217 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Dental Associates, LP | Past | Accepting new patients | |
| Brident Dental Associates PC | Dentist | Past | Accepting new patients |
| Flair Dental PLLC | 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 and National Provider Directory roles.
-
- Dentist
- Haltom City, TX
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- McKinney, TX
- NPI 1265928865
-
- General Practice Dentistry
- Haltom City, TX
- NPI 1770924698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1750538005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 AMBERWOOD DR",
"city": "COPPELL",
"state": "TX",
"postal_code": "750197969",
"telephone_number": "203-606-3155",
"fax_number": "817-529-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 E BELKNAP ST",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761174608",
"telephone_number": "817-529-1791",
"fax_number": "817-529-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYAPURAM",
"first_name": "RAMA KRISHNA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.