Active NPI
Sowjanya Basireddygari, DMD
- Dentist
- Frisco, TX
National Provider Identifier
1942723507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33311
- Practice address
- 15801 Rolater Rd
Suite 202
Frisco, TX 75035 - Phone
- (469) 353-6886
- Fax
- (469) 353-6883
- NPI assigned
- Jul 25, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 33311 | TX | Primary |
Addresses
Primary practice location
15801 Rolater Rd
Suite 202
Frisco, TX 75035
Mailing address
15801 Rolater Rd
Suite 202
Frisco, TX 75035
Phone (469) 353-6886
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 |
|---|---|---|---|
| 33311 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dantam Dental PLLC | Dentist | Current | Accepting new patients |
Locations
15801 Rolater Rd
Ste 202
Frisco, TX 75035
Phone (469) 353-6886
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1942723507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15801 ROLATER RD",
"address_2": "SUITE 202",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "469-353-6886",
"fax_number": "469-353-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15801 ROLATER RD",
"address_2": "SUITE 202",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "469-353-6886",
"fax_number": "469-353-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASIREDDYGARI",
"first_name": "SOWJANYA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2023-04-05",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.