Active NPI
Valerie Osako Mukanga, DDS
- Dentist
- Mesquite, TX
National Provider Identifier
1760777593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27983
- Practice address
- 3220 Gus Thomasson Rd
100
Mesquite, TX 75150-4057 - Phone
- (214) 791-1996
- Fax
- (866) 604-9227
- NPI assigned
- Jun 9, 2011
- Last updated
- Sep 24, 2015
- Sex
- Female
- 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 | 27983 | TX | Primary |
Addresses
Primary practice location
3220 Gus Thomasson Rd
100
Mesquite, TX 75150-4057
Mailing address
913 Sage Meadow Dr
Glenn Heights, TX 75154-8440
Phone (214) 791-1996
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 |
|---|---|---|---|
| 27983 | TX | MD | Dentist |
Organizations & group practices 1
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.
-
dba Healing Wings Dental
- General Practice Dentistry
- Arlington, TX
- NPI 1871952416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1760777593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 SAGE MEADOW DR",
"city": "GLENN HEIGHTS",
"state": "TX",
"postal_code": "751548440",
"telephone_number": "214-791-1996",
"fax_number": "866-604-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 GUS THOMASSON RD",
"address_2": "100",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751504057",
"telephone_number": "214-791-1996",
"fax_number": "866-604-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKANGA",
"first_name": "VALERIE",
"middle_name": "OSAKO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
- Motion Foot & Ankle Institute, PLLC (Motion Foot & Ankle Institute)
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- Kowsika Movva, M.D.
- MRI Centers of Texas LLC Mesquite Series
- MSL Management, LLC
- Teria Mullin, APN, CRNA, FNP-C
- Angela Nicole Mullins
- James Mullowney, D.O.
- Ladarrion Mumphrey
- Anuradha Lekkala Mundluru, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.