Prashant Kaushik, DMD, MBA, MAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29509 Issued in TX

Practice address

2504 Ridge Rd Ste 207
Rockwall, TX 75087-2571

Phone

(207) 939-5706

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1063539153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD STE 207",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872571",
            "telephone_number": "207-939-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD STE 207",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872571",
            "telephone_number": "207-939-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUSHIK",
        "first_name": "PRASHANT",
        "name_prefix": "Dr.",
        "credential": "DMD, MBA, MAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Brooke Karr, LCSW
• Andres U Katz, MD
• Grace Yoko Kawamata
• Rae Anne Reyes Keathley
• Charles B Keith, D.C.
• Kylee Keller, LPC-ASSOCIATE
• Bryan Kelley, PTA

• General Practice Dentistry in Rockwall, TX
• Providers in Rockwall, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.