Individual provider Active NPI

Roopam Garg, D.D.S.

  • Dentist
  • Flower Mound, TX
National Provider Identifier
1073920237
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30297 Issued in TX
Practice address
1900 Long Prairie Rd Ste 132
Flower Mound, TX 75022-4295
Phone
(972) 874-7870
Fax
(214) 255-1120
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30297 TX Primary

Addresses

Primary practice location

1900 Long Prairie Rd Ste 132
Flower Mound, TX 75022-4295

Mailing address

1900 Long Prairie Rd Ste 132
Flower Mound, TX 75022-4295
Phone (972) 874-7870

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
I20160607001744 TX Order and Referring Only - DentistPractitioner - Dentist 6103116991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30297TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1073920237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LONG PRAIRIE RD STE 132",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224295",
            "telephone_number": "972-874-7870",
            "fax_number": "214-255-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LONG PRAIRIE RD STE 132",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224295",
            "telephone_number": "972-874-7870",
            "fax_number": "214-255-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "ROOPAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.