Active NPI
Prasanthi Challapalli, DMD
- Dentist
- Amarillo, TX
National Provider Identifier
1831814243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39103
- Practice address
- 802 E Amarillo Blvd Ste 300
Amarillo, TX 79107-5401 - Phone
- (806) 230-6040
- NPI assigned
- Oct 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39103 | TX | Primary |
Addresses
Primary practice location
802 E Amarillo Blvd Ste 300
Amarillo, TX 79107-5401
Mailing address
2701 Atlanta Dr
Amarillo, TX 79118-1509
Phone (281) 814-6576
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39103 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1831814243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 ATLANTA DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791181509",
"telephone_number": "281-814-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E AMARILLO BLVD STE 300",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791075401",
"telephone_number": "806-230-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALLAPALLI",
"first_name": "PRASANTHI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.