Provider Demographics
NPI:1992158349
Name:CHEPYALA PLLC
Entity type:Organization
Organization Name:CHEPYALA PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANURITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEPYALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-733-4241
Mailing Address - Street 1:1750 ALMA RD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-6725
Mailing Address - Country:US
Mailing Address - Phone:214-733-4241
Mailing Address - Fax:
Practice Address - Street 1:1750 ALMA RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-6725
Practice Address - Country:US
Practice Address - Phone:214-733-4241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty