NPIMap

Organization Active NPI

Mankotia PLLC

Doing business as South Star Dental

  • Dentist
  • La Marque, TX
National Provider Identifier
1053924126
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MANKOTIA PLLC
Doing business as
South Star Dental
Practice address
6408 I-45 Gulf Fwy Ste B
La Marque, TX 77568-3091
Phone
(409) 299-4014
NPI assigned
Aug 28, 2020
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Saurabh MankotiaNPI 1083189179
Title
Manager
Phone
(409) 299-4014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
Dental Clinic/Center 261QD0000X NU

Addresses

Primary practice location

6408 I-45 Gulf Fwy Ste B
La Marque, TX 77568-3091

Mailing address

6408 I-45 Gulf Fwy
Ste B
La Marque, TX 77568-3091

Other names 1

  • South Star Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1053924126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 I-45 GULF FWY",
            "address_2": "STE B",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775683091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 I-45 GULF FWY STE B",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775683091",
            "telephone_number": "409-299-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKOTIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "MANKOTIA",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-299-4014"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Star Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Star Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Marque, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.