Sakunthala Boppana, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26261 Issued in TX

Practice address

3630 N Shiloh Rd Ste 209
Garland, TX 75044-6611

Phone

(469) 863-7009

Fax

(469) 863-7004

NPI assigned

Jan 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sakunthala Chukkapalli Former name

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

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1952548356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 N SHILOH RD STE 209",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750446611",
            "telephone_number": "469-863-7009",
            "fax_number": "469-863-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 N SHILOH RD STE 209",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750446611",
            "telephone_number": "469-863-7009",
            "fax_number": "469-863-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPPANA",
        "first_name": "SAKUNTHALA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-027838",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAKUNTHALA",
            "last_name": "CHUKKAPALLI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Boles, ACP
• Debra L Bollin, OTR
• Michael James Bollish, O.D.
• Bonilla Family Chiropractic LLC
• Ana Laura Bonilla, D.C.
• Bari Borejdo, APRN
• Carisa Ann Boser
• Boss Babe Wig Cleaners
• Bethany Boswell, MS CCC-SLP
• Briana Botkins

• General Practice Dentistry in Garland, TX
• Providers in Garland, 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 Aug 14, 2019; 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.