Individual provider Active NPI

Maulik Nanavati, DDS

  • General Practice Dentistry
  • Pinehurst, TX
National Provider Identifier
1033498233
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27308 Issued in TX
Practice address
32030 Suite 1 Decker Prairie Road
Pinehurst, TX 77362
Phone
(281) 356-3351
NPI assigned
Aug 5, 2011
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27308 TX Primary

Addresses

Primary practice location

32030 Suite 1 Decker Prairie Road
Pinehurst, TX 77362

Mailing address

32030 Suite 1 Decker Prairie Road
Pinehurst, TX 77362
Phone (630) 701-4112

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160520000652 TX Order and Referring Only - DentistPractitioner - Dentist 8527357177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27308TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Sapiens Dental PC Current Accepting new patients
Happy Sapiens Dental PLLC Current Accepting new patients

Locations

26219 Interstate 45
The Woodlands, TX 77380
Phone (281) 367-3685

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1033498233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32030 SUITE 1 DECKER PRAIRIE ROAD",
            "city": "PINEHURST",
            "state": "TX",
            "postal_code": "77362",
            "telephone_number": "630-701-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32030 SUITE 1 DECKER PRAIRIE ROAD",
            "city": "PINEHURST",
            "state": "TX",
            "postal_code": "77362",
            "telephone_number": "281-356-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "MAULIK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, TX

Sources for this page

Verify at the official NPI Registry.