Rupeshwar Ishwar Renkuntla

Primary specialty

DentistTaxonomy code 122300000X

License

31354 Issued in TX

Practice address

240 S Saginaw Blvd Ste 200
Saginaw, TX 76179-1672

Phone

(817) 989-2832

Fax

(817) 989-2813

NPI assigned

Jun 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Renkuntla PLLC

  • General Practice Dentistry
  • Saginaw, TX
  • NPI 1881246049
  NPD Authorized official

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1821403403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 LASSEN LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631248",
            "telephone_number": "405-881-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S SAGINAW BLVD STE 200",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791672",
            "telephone_number": "817-989-2832",
            "fax_number": "817-989-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKUNTLA",
        "first_name": "RUPESHWAR",
        "middle_name": "ISHWAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6605",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Reagin, DO
• Real Smiles, LLC
• Ronald Richard Redden, ATC, LAT
• Jason Todd Redler, D.C.
• Renkuntla PLLC
• Desiree Kathryn Richards, LCSW
• Brent P Robinson, DDS
• Julie Michelle Rodriguez, LMSW
• Naomi Rosado
• Andrey Rybalchenko

• Dentist in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.