Rajeswari Guntnur, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20923 Issued in TX

Practice address

5409 N Jim Miller Rd
Suite 105
Dallas, TX 75227-1542

Phone

(214) 381-1272

Fax

(214) 381-6131

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Exquisite Family Dentistry

  • Point of Service
  • Dallas, TX
  • NPI 1477837821
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821184169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 SABLE RIDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876264",
            "telephone_number": "972-862-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 N JIM MILLER RD",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752271542",
            "telephone_number": "214-381-1272",
            "fax_number": "214-381-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTNUR",
        "first_name": "RAJESWARI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "201872768",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sweccha Guntamukkala
• Dezerra L Gunter, CRNA
• Jacqueline Demar Gunter, RN
• Yessica Gunther, OTR
• Praveen Guntipalli, MD
• Nikita Sahiti Guntu
• Naga Swati Gunturu
• Ashley Gunzelman
• Emily Su Guo
• Huizi Guo

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.