Padmanjali Battula, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11852 Issued in MN

Practice address

21343 Archibald Rd
Deerwood, MN 56444

Phone

(218) 534-3141

Fax

(218) 534-3949

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deerwood Dental, Inc

  dba The Smile Center

  • Clinic/Center
  • Deerwood, MN
  • NPI 1730262585
  NPD (past)
• Northland Smiles Corporation PA

  • Clinic/Center
  • Deerwood, MN
  • NPI 1043567357
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1851400097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LA SALLE AVE",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55402",
            "telephone_number": "612-339-4546",
            "fax_number": "612-338-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21343 ARCHIBALD RD",
            "city": "DEERWOOD",
            "state": "MN",
            "postal_code": "56444",
            "telephone_number": "218-534-3141",
            "fax_number": "218-534-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTULA",
        "first_name": "PADMANJALI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747607800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brainerd Medical Center Inc (Essentia Health Deerwood Pharmacy)
• Emily Branum, OTR/L
• James Edmund Call Jr., M.D.
• Anna Carr
• Central Minnesota Home Care, Inc. (Preferred Care at Home of Central Minnesota)

• General Practice Dentistry in Deerwood, MN
• Providers in Deerwood, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.