Nirvana Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25677 Issued in TX

Legal business name

NIRVANA DENTAL

Practice address

3704 Cheek Sparger Road #100
Bedford, TX 76021

Phone

(352) 328-7403

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Prachi Vartikar

Title

Owner

Phone

(352) 328-7403

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1013399799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 CHEEKSPARGER ROAD #100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "352-328-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 CHEEK SPARGER ROAD #100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "352-328-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "VARTIKAR",
        "authorized_official_first_name": "PRACHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-328-7403",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "25677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy N Nguyen, DDS
• Ana Nicolalde, LPC
• Taylor Nielsen, NP
• Martin Nieves, LCDC
• Nikhil Bhayani MD PA
• Terri L Nix, COTA
• Niyyah Counseling PLLC
• Cristine Marie Nizam, ACNP-BC
• Rodrigo Massato Nobetani, MD
• Nocturna of Keller LP

• Dental Clinic/Center in Bedford, TX
• Providers in Bedford, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.