Anil K Gudipati, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29622 Issued in TX

Practice address

3010 FM 423 Ste 100
Little Elm, TX 75068-6705

Phone

(469) 239-0123

Fax

(469) 213-1524

NPI assigned

Dec 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A Gud Dentist, PLLC

  • Dental Clinic/Center
  • Little Elm, TX
  • NPI 1275178865
  NPD Authorized official

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1790053908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 FM 423 STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686705",
            "telephone_number": "469-239-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 FM 423 STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686705",
            "telephone_number": "469-239-0123",
            "fax_number": "469-213-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDIPATI",
        "first_name": "ANIL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graceland Hospice LLC
• Aidyn Graham
• Kyla Green, LPC-ASSOCIATE
• Lindsey Marie Engel Grela, MA, LPC
• James Tillman Grogan Jr., DDS
• Guided Care Management
• Ritu Gupta, MSD
• Joe Gutierrez, DC
• Chomba Hansende, FNP-C
• Linda Lee Harris, AGNP

• Dentist in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.

Verify at the official NPI Registry.