NPIMap

Organization Active NPI

Evershine Dental PLLC

Doing business as Best Dental Care @ Tyler

  • Dental Clinic/Center
  • Tyler, TX
National Provider Identifier
1033628714
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
32777 Issued in TX
Legal business name
EVERSHINE DENTAL PLLC
Doing business as
Best Dental Care @ Tyler
Practice address
3310 S Southwest Loop 323
Tyler, TX 75701-9236
Phone
(903) 593-3333
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sachin Kocharekar, DMDNPI 1235500752
Title
President/Dentist
Phone
(575) 268-8648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 32777 TX Primary

Addresses

Primary practice location

3310 S Southwest Loop 323
Tyler, TX 75701-9236

Mailing address

3310 S Southwest Loop 323
Tyler, TX 75701-9236
Phone (903) 593-3333

Other identifiers 1

IdentifierTypeStateIssuer
3506636-04MedicaidTX

Other names 1

  • Best Dental Care @ Tyler Doing business as

National Provider Directory

National Provider Directory

Locations

3310 S Southwest Loop 323
Tyler, TX 75701
Phone (903) 593-3333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033628714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 S SOUTHWEST LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019236",
            "telephone_number": "903-593-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 S SOUTHWEST LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019236",
            "telephone_number": "903-593-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSHINE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOCHAREKAR",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "575-268-8648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "32777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3506636-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Dental Care @ Tyler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.