Individual provider Active NPI

Rushi Dave

  • General Practice Dentistry
  • Pearland, TX
National Provider Identifier
1093175341
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32638 Issued in TX
Practice address
1812 Broadway St
Pearland, TX 77581-5661
Phone
(281) 993-9900
NPI assigned
Feb 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 32638 TX Primary

Addresses

Primary practice location

1812 Broadway St
Pearland, TX 77581-5661

Mailing address

1812 Broadway St
Pearland, TX 77581-5661
Phone (281) 993-9900

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
I20171201002805 TX Order and Referring Only - DentistPractitioner - Dentist 0345507190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32638TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rushi Dave, DMD PLLC CurrentSince Apr 14, 2024 Accepting new patients
DPDG Holdings PLLC CurrentSince Jul 7, 2024 Accepting new patients
DHV Holdings PLLC Current Accepting new patients
Rosenberg Dental Group PastSince Dec 1, 2019 Accepting new patients

Locations

1812 Broadway St
Pearland, TX 77581
Phone (281) 635-3969

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1093175341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815661",
            "telephone_number": "281-993-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815661",
            "telephone_number": "281-993-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "RUSHI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-29",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.