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Lakshmi Prathyusha Nannapaneni, DDS

NPI 1730614157ActiveIndividual· Dentist· Port Orange, FL

Dentist (DDS) in Port Orange, Florida, licensed in FL and NJ, with an NPI issued in April 2017. Enrolled in Medicare as order and referring only - dentist.

Overview

NPI1730614157
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedApr 23, 2017
Last updated in NPPESSep 18, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDN24565FL
Dentist122300000X22DI02666200NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dentist (FL)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Port Orange

All 29 dentists in Port Orange · All dentists in Florida