Individual provider Active NPI

Anivarthini T Thanikella

  • Dentist
  • Plano, TX
National Provider Identifier
1003733924
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42640 Issued in TX
Practice address
2304 Midway Rd Ste C
Plano, TX 75093-8495
Phone
(972) 473-8880
NPI assigned
Jul 1, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 42640 TX Primary

Addresses

Primary practice location

2304 Midway Rd Ste C
Plano, TX 75093-8495

Mailing address

13708 Blueberry Hill Dr
Little Elm, TX 75068-4804
Phone (972) 837-3423

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1003733924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 BLUEBERRY HILL DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750684804",
            "telephone_number": "972-837-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 MIDWAY RD STE C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938495",
            "telephone_number": "972-473-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANIKELLA",
        "first_name": "ANIVARTHINI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "42640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.