Kalyani Tatineni

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39130 Issued in TX

Practice address

2525 N Veterans Blvd
Eagle Pass, TX 78852-3302

Phone

(830) 773-5358

NPI assigned

Oct 10, 2022

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1710980669

  General Practice

  Medicare reassignment NPD
• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1295525012
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1891410080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N VETERANS BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523302",
            "telephone_number": "830-773-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINENI",
        "first_name": "KALYANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Plus Ambulance LLC
• Sylvia Juniette Salazar
• Chris Jay Jalando-on Tabarejo, R.P.T.
• Marvic Maria Taborda Alvarez
• Taryn Turner D.O., P.a.
• Texas Durable Medical Equipment, Inc
• Theo Inpatient Services
• Noemi Ankara Tinajero, PHARMD
• TLC Adult Day Care Centers, Inc.
• TLC Adult Day Care Centers, Inc.

• General Practice Dentistry in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.