Individual provider Active NPI

Mamatha Yadlapati, B.D.S., M.S.D

  • Endodontics
  • Sugar Land, TX
National Provider Identifier
1962950964
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
31942 Issued in TX
Practice address
1711 Bartrum TRL
Sugar Land, TX 77479-5694
Phone
(256) 783-6635
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 31942 TX Primary

Addresses

Primary practice location

1711 Bartrum TRL
Sugar Land, TX 77479-5694

Mailing address

1711 Bartrum TRL
Sugar Land, TX 77479-5694
Phone (256) 783-6635

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

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1962950964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 BARTRUM TRL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795694",
            "telephone_number": "256-783-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 BARTRUM TRL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795694",
            "telephone_number": "256-783-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADLAPATI",
        "first_name": "MAMATHA",
        "credential": "B.D.S., M.S.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "31942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.