Active NPI
Radhika Iyer, D.M.D.
- General Practice Dentistry
- Irving, TX
National Provider Identifier
1003044025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27615
- Practice address
- 2020 W Rochelle Rd
Irving, TX 75062-5348 - Phone
- (469) 706-9355
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1855158 | MA | |
| General Practice Dentistry | 1223G0001X | 27615 | TX | Primary |
Addresses
Primary practice location
2020 W Rochelle Rd
Irving, TX 75062-5348
Mailing address
2020 W Rochelle Rd
Irving, TX 75062-5348
Phone (469) 706-9355
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855158 | MA | MD | General Practice Dentistry |
| 27615 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1003044025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W ROCHELLE RD",
"city": "IRVING",
"state": "TX",
"postal_code": "750625348",
"telephone_number": "469-706-9355",
"fax_number": "469-706-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W ROCHELLE RD",
"city": "IRVING",
"state": "TX",
"postal_code": "750625348",
"telephone_number": "469-706-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYER",
"first_name": "RADHIKA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1855158",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.