NPIMap

Organization Active NPI

Prasad Challagulla,.D.M.D,P.a

  • Endodontics
  • Owings Mills, MD
National Provider Identifier
1780078485
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
15071 Issued in MD
Legal business name
PRASAD CHALLAGULLA,.D.M.D,P.A
Practice address
8890 McDonogh Road, Suite 302
Owings Mills, MD 21117
Phone
(410) 356-6500
Fax
(410) 356-3214
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Dr. Prasad Challagulla, DMD,PA
Title
President
Phone
(410) 356-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 15071 MD Primary

Addresses

Primary practice location

8890 McDonogh Road, Suite 302
Owings Mills, MD 21117

Mailing address

8890 McDonogh Road
Suite 302
Owings Mills, MD 21117
Phone (410) 356-6500

National Provider Directory

National Provider Directory

Locations

8890 McDonogh Rd
Ste 302
Owings Mills, MD 21117
Phone (410) 356-6500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1780078485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 MCDONOGH ROAD",
            "address_2": "SUITE 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-356-6500",
            "fax_number": "410-356-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 MCDONOGH ROAD, SUITE 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-356-6500",
            "fax_number": "410-356-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD CHALLAGULLA,.D.M.D,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "CHALLAGULLA",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-356-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,PA"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "15071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.