Individual provider Active NPI

Virajitha Maddipati

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1831598010
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30393 Issued in TX
Practice address
2323 Long Reach Dr
Apt 2205
Sugar Land, TX 77478-4190
Phone
(512) 905-8231
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30393 TX Primary

Addresses

Primary practice location

2323 Long Reach Dr
Apt 2205
Sugar Land, TX 77478-4190

Mailing address

2323 Long Reach Dr
Apt 2205
Sugar Land, TX 77478-4190
Phone (512) 905-8231

Other names 1

  • Virajitha Maddipati Former name

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

LicenseStateTypeSpecialty
30393TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1831598010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 LONG REACH DR",
            "address_2": "APT 2205",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784190",
            "telephone_number": "512-905-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 LONG REACH DR",
            "address_2": "APT 2205",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784190",
            "telephone_number": "512-905-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDIPATI",
        "first_name": "VIRAJITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRAJITHA",
            "last_name": "MADDIPATI",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.