DR. HARITA KODALI DMD
NPI 1578757019
Dentist - General Practice in Grand Prairie, TX

Active since August 28, 2007PECOS Enrolled
355 E WESTCHESTER PKWY STE 200, GRAND PRAIRIE, TX 75052(972) 546-3888(469) 619-0665 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Harita Kodali Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HARITA KODALI DMD (NPI 1578757019) is an individual general practice provider in Grand Prairie, Texas, licensed in Texas (23373) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578757019
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HARITA KODALICredential: DMD
Location Address355 E WESTCHESTER PKWY STE 200Grand Prairie, TX 75052-2846
Mailing Address355 E Westchester Pkwy Ste 200Grand Prairie, TX 75052-2846 · (972) 546-3888 · Fax (469) 619-0665
Fax(469) 619-0665
Sole ProprietorYes
Enumeration DateAugust 28, 2007
Last NPPES UpdateJune 24, 2014
NPI 1578757019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 23373
Definition
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.
355 E WESTCHESTER PKWY STE 200, Grand Prairie, TX 75052

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Harita Kodali Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
355 E WESTCHESTER PKWY STE 200
GRAND PRAIRIE, TX 75052
Dentist
355 E WESTCHESTER PKWY STE 200
GRAND PRAIRIE, TX 75052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harita Kodali's NPI number?

The NPI number for Harita Kodali is 1578757019. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Harita Kodali located?

Harita Kodali practices at 355 E Westchester Pkwy Ste 200, Grand Prairie, TX 75052. The listed phone number is (972) 546-3888.

What is Harita Kodali's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Harita Kodali enrolled in Medicare?

Yes. Harita Kodali is registered in the Medicare PECOS enrollment system.

What insurance does Harita Kodali accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Harita Kodali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harita Kodali was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.