Active NPI
Dileep Varghese
- General Practice Dentistry
- Sachse, TX
National Provider Identifier
1053890095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34540
- Practice address
- 6504 Highway 78 Ste 146
Sachse, TX 75048-3268 - Phone
- (972) 530-3644
- NPI assigned
- Aug 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34540 | TX | Primary |
Addresses
Primary practice location
6504 Highway 78 Ste 146
Sachse, TX 75048-3268
Mailing address
829 Yosemite TRL
Mesquite, TX 75149-7516
Phone (469) 236-8450
Other practice location 1
1012 W Hebron Pkwy
Carrollton, TX 75010-1122
Phone (972) 939-6500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34540 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aby Jacob Chacko, D.M.D., P.a. | Past | Accepting new patients | |
| H L Sugg DDS PA | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Sachse, TX
- NPI 1942322870
-
- General Practice Dentistry
- Dallas, TX
- NPI 1689809568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1053890095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 YOSEMITE TRL",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751497516",
"telephone_number": "469-236-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6504 HIGHWAY 78 STE 146",
"city": "SACHSE",
"state": "TX",
"postal_code": "750483268",
"telephone_number": "972-530-3644"
}
],
"practiceLocations": [
{
"address_1": "1012 W Hebron Pkwy",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "750101122",
"country_code": "US",
"telephone_number": "972-939-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGHESE",
"first_name": "DILEEP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-10",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.