Active NPI
Shanthala Gowdara Srinivasa Reddy
- General Practice Dentistry
- Aubrey, TX
National Provider Identifier
1902447899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35665
- Practice address
- 1001 US Highway 377 S Ste 107
Aubrey, TX 76227-5658 - Phone
- (940) 202-0670
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35665 | TX | Primary |
Addresses
Primary practice location
1001 US Highway 377 S Ste 107
Aubrey, TX 76227-5658
Mailing address
3718 Platte River TRL
Prosper, TX 75078-2696
Phone (407) 227-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35665 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankitha Professional Corporation | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Little Elm, TX
- NPI 1326856105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735084800000",
"number": "1902447899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3718 PLATTE RIVER TRL",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782696",
"telephone_number": "407-227-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 US HIGHWAY 377 S STE 107",
"city": "AUBREY",
"state": "TX",
"postal_code": "762275658",
"telephone_number": "940-202-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOWDARA SRINIVASA REDDY",
"first_name": "SHANTHALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2024-12-25",
"certification_date": "2024-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.