Individual provider

Venkatasuman Koppuravuri, DDS

General Practice Dentistry Medicare enrolled

Venkatasuman Koppuravuri, DDS is a provider specialising in General Practice Dentistry in Dallas, TX, registered under NPI 1245469618.

Getting there

The practice address on file is 3010 LBJ FWY STE 200, Dallas, TX 75234. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3010 LBJ FWY STE 200, Dallas, TX 75234 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
10067 SC General Practice Dentistry primary
24699 TX General Practice Dentistry
30.023362 OH General Practice Dentistry
10623 NC General Practice Dentistry

Licences are recorded in 4 states: SC, TX, OH, NC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Dentist
PAC ID
0648561878
Enrollment ID
I20160620001022

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: North Carolina, Ohio, South Carolina and Texas. The practice address on file is in Dallas, TX, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina
Licence
10623
Specialty
General Practice Dentistry
Verify with the NC board →
OH Ohio
Licence
30.023362
Specialty
General Practice Dentistry
Verify with the OH board →
SC South Carolina
Licence
10067
Specialty
General Practice Dentistry
Verify with the SC board →
TX Texas practice address
Licence
24699
Specialty
General Practice Dentistry
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What General Practice covers

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223G0001X General Practice Dentistry General Practice 10067 SC primary
1223G0001X General Practice Dentistry General Practice 24699 TX
1223G0001X General Practice Dentistry General Practice 30.023362 OH
1223G0001X General Practice Dentistry General Practice 10623 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1245469618 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 7, 2009
Last updatedMay 19, 2023
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 3010 LBJ FWY STE 200
Dallas, TX 75234
(972) 444-8888
Fax (972) 243-6059
Mailing address 2298 CHERRY ROAD
Rock Hill, SC 29732
The last update on file is May 19, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1245469618 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 4 5 4 6 9 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 8 5 8 6 9 6 2

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1245469618?
NPI 1245469618 is the National Provider Identifier assigned to Venkatasuman Koppuravuri, DDS in Dallas, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
How do I contact Venkatasuman Koppuravuri, DDS?
The phone number on file with NPPES is (972) 444-8888, last updated May 19, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Venkatasuman Koppuravuri, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1245469618 a valid number?
Yes. 1245469618 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.