Himanshu Mehrotra, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418371 Issued in VA

Practice address

392 Garrisonville Rd Ste 205
Stafford, VA 22554-1576

Phone

(540) 659-6816

NPI assigned

Jul 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Familia Dental Lubbock PLLC

  dba Familia Dental

  • Dental Clinic/Center
  • Lubbock, TX
  • NPI 1902126774

  General Practice

  NPD (past)

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1023492881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 GARRISONVILLE RD STE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541576",
            "telephone_number": "201-736-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 GARRISONVILLE RD STE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541576",
            "telephone_number": "540-659-6816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 19th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794014414",
            "country_code": "US",
            "telephone_number": "806-368-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHROTRA",
        "first_name": "HIMANSHU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-11",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31307",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Levette McTeer, LCSW
• Medical & Urgent Care Center, PC (Aquia Family Medical Center)
• Medical Imaging of Fredericksburg, LLC (Medical Imaging of North Stafford)
• Karlily Mirey Medina, RBT
• Paul Affar Meenu, PHD
• Julia Meikle
• Melanie Wert LPC
• Melaniewert, PLLC
• Memories of Life Home Care LLC
• Dania Menardi Munguia, LCSW

• General Practice Dentistry in Stafford, VA
• Providers in Stafford, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.