Individual provider Active NPI

Suman C Rangappa

  • General Practice Dentistry
  • La Porte, TX
National Provider Identifier
1851396626
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20019 Issued in TX
Practice address
1309 W Fairmont Pkwy
Ste C
La Porte, TX 77571-6123
Phone
(281) 842-9934
NPI assigned
Jun 17, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 20019 TX Primary

Addresses

Primary practice location

1309 W Fairmont Pkwy
Ste C
La Porte, TX 77571-6123

Mailing address

2610 Ledgebrook LN
Friendswood, TX 77546-6060
Phone (281) 482-2610

Other names 1

  • Mrs. Suman C Rangappa Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150731015616 TX Order and Referring Only - DentistPractitioner - Dentist 4789998956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20019TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851396626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 LEDGEBROOK LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466060",
            "telephone_number": "281-482-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W FAIRMONT PKWY",
            "address_2": "STE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716123",
            "telephone_number": "281-842-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGAPPA",
        "first_name": "SUMAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMAN",
            "last_name": "RANGAPPA",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "D.M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Porte, TX

Sources for this page

Verify at the official NPI Registry.