Individual provider Active NPI

Aparna Nidamarthi, DDS

  • Dentist
  • Dallas, TX
National Provider Identifier
1841694759
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30568 Issued in TX
Practice address
3030 LBJ Fwy
Suite 1400,
Dallas, TX 75234-7781
Phone
(972) 663-5353
Fax
(972) 243-6059
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30568 TX Primary

Addresses

Primary practice location

3030 LBJ Fwy
Suite 1400,
Dallas, TX 75234-7781

Mailing address

1560 3Rd St
Apt#1301
San Francisco, CA 94158-2303
Phone (940) 368-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322000384 CA Order and Referring Only - DentistPractitioner - Dentist 1153606728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30568TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1841694759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 3RD ST",
            "address_2": "APT#1301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582303",
            "telephone_number": "940-368-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY",
            "address_2": "SUITE 1400,",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347781",
            "telephone_number": "972-663-5353",
            "fax_number": "972-243-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDAMARTHI",
        "first_name": "APARNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.