Individual provider Active NPI

Radhika Nikita Patnana, RDH, MIB, BS

  • Dental Hygienist
  • Houston, TX
National Provider Identifier
1013771252
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
24644 Issued in TX
Practice address
102 Quitman St Unit 403
Houston, TX 77009-7645
Phone
(832) 819-1688
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 24644 TX Primary

Addresses

Primary practice location

102 Quitman St Unit 403
Houston, TX 77009-7645

Mailing address

102 Quitman St Unit 403
Houston, TX 77009-7645
Phone (832) 819-1688

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1013771252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 QUITMAN ST UNIT 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097645",
            "telephone_number": "832-819-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 QUITMAN ST UNIT 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097645",
            "telephone_number": "832-819-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNANA",
        "first_name": "RADHIKA",
        "middle_name": "NIKITA",
        "credential": "RDH, MIB, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "24644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.