Active NPI
Samyuktha Reddy Duvurri, B.D.S, D.M.D
- Dentist
- Sunland Park, NM
National Provider Identifier
1770874927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DH3767
- Practice address
- 2625 McNutt Rd
Sunland Park, NM 88063-9019 - Phone
- (575) 589-1500
- Fax
- (575) 589-1519
- NPI assigned
- Apr 22, 2011
- 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 | DH3767 | NM | Primary |
Addresses
Primary practice location
2625 McNutt Rd
Sunland Park, NM 88063-9019
Mailing address
385 Calle de Alegra, BLDG a
Las Cruces, NM 88005-3417
Phone (575) 526-1105
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 |
|---|---|---|---|
| DH3767 | NM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1770874927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CALLE DE ALEGRA, BLDG A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053417",
"telephone_number": "575-526-1105",
"fax_number": "575-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 MCNUTT RD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880639019",
"telephone_number": "575-589-1500",
"fax_number": "575-589-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVURRI",
"first_name": "SAMYUKTHA",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "B.D.S, D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-22",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DH3767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunland Park, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.