Susmitha Jasti, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

26353 Issued in TX

Practice address

4801 Wilson Road, Ste 200
Humble,, TX 77396

Phone

(281) 441-1065

NPI assigned

Jul 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Network Provider Associates, P.C.

  • Dentist
  • Humble, TX
  • NPI 1700078763
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1033347752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WILSON ROAD, STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77396",
            "telephone_number": "281-441-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WILSON ROAD, STE 200",
            "city": "HUMBLE,",
            "state": "TX",
            "postal_code": "77396",
            "telephone_number": "281-441-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTI",
        "first_name": "SUSMITHA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855163",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janacek S a
• Judy A Janak, CCC-SLP
• Rebecca Kathleen Jarrell, M.A. LPC
• Kent T. Jarvis, D.P.M
• Andrea Monique Jasmine
• Imtihan M Jawdat, MD
• T H Jayaram, MD
• Jaysons Helping Hand Transportaion
• JCL Mallari, PLLC
• JCZ Surgery, PLLC

• Dentist in Humble,, TX
• Providers in Humble,, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.