Individual provider Active NPI

Yashaswi Krishnamurthy, DDS

  • Dentist
  • Azle, TX
National Provider Identifier
1831875434
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39756 Issued in TX
Practice address
605 Northwest Pkwy Ste 130
Azle, TX 76020-2946
Phone
(817) 270-2429
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39756 TX Primary

Addresses

Primary practice location

605 Northwest Pkwy Ste 130
Azle, TX 76020-2946

Mailing address

2211 Saskatoon St
Georgetown, TX 78626-2782
Phone (734) 358-4063

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

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1831875434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 SASKATOON ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786262782",
            "telephone_number": "734-358-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NORTHWEST PKWY STE 130",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202946",
            "telephone_number": "817-270-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAMURTHY",
        "first_name": "YASHASWI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.