Maa Cotulla Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAA COTULLA DENTAL

Practice address

649 Las Palmas Blvd Ste 8
Cotulla, TX 78014-3209

Phone

(661) 618-4215

NPI assigned

May 28, 2025

Last updated

May 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Venkata Rajesh Kumar Pasupuleti

Title

Owner

Phone

(661) 618-4215

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Venkata Pasupuleti, DDS

  • General Practice Dentistry
  • Lamesa, TX
  • NPI 1720534266
  NPD

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1831982248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 LAS PALMAS BLVD STE 8",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780143209",
            "telephone_number": "661-618-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 LAS PALMAS BLVD STE 8",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780143209",
            "telephone_number": "661-618-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAA COTULLA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "PASUPULETI",
        "authorized_official_first_name": "VENKATA RAJESH KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-618-4215",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khan Medical Clinic, PLLC
• Brady Kuenstler, LPC, CSC
• La Salle Co. Elderly Nutriition Program
• Elizabeth Marie Lutz, LAT, ATC
• Celeste Pendaz Lyman, P.T.
• Ismael Martinez Jr.
• Katherine Pavo Padilla, APRN, FNP-C
• Anjli K Patel
• Mara Prindle
• Juanita M Ruiz, LCDC

• Dental Clinic/Center in Cotulla, TX
• Providers in Cotulla, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.