Divya Venkataraman DMD PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DIVYA VENKATARAMAN DMD PLLC

Practice address

1 Eureka Cir
Suite 103
Wichita Falls, TX 76308-2929

Phone

(940) 691-5027

NPI assigned

Apr 24, 2014

Last updated

Sep 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Divya Iyer, DMDNPI 1700011160

Title

Managing Member

Phone

(940) 691-5027

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Divya Iyer, DMD

  • Pediatric Dentistry
  • Wichita Falls, TX
  • NPI 1700011160
  NPD Authorized official

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1750701058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EUREKA CIR",
            "address_2": "SUITE 103",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082929",
            "telephone_number": "940-691-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EUREKA CIR",
            "address_2": "SUITE 103",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082929",
            "telephone_number": "940-691-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVYA VENKATARAMAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "940-691-5027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Marie Diel, LVN
• Macie Difilippo
• Jennifer Michelle Dillard, APRN, FNP-C
• Latrisha Ann Dimarzio, LVN
• Raja Rajeswari Divi
• Swati S Dixit, DDS
• Fardin Djafari, M.D.
• DM Blackwell Holdings LLC (Chiropractic Associates)
• Flower Doan - Mai, D.O.
• Britnye De'Shae Dobbins, COTA

• Pediatric Dentistry in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.