Organization Active NPI

Radhika Gowali DDS PLLC

  • Dentist
  • Cypress, TX
National Provider Identifier
1093535387
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RADHIKA GOWALI DDS PLLC
Practice address
21211 FM 529 Rd Ste 106
Cypress, TX 77433-6802
Phone
(281) 520-3445
Fax
(281) 345-3446
NPI assigned
Oct 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Authorized official

Name
Dr. Radhika Gowali, DDSNPI 1184027773
Title
Owner
Phone
(281) 520-3445

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

21211 FM 529 Rd Ste 106
Cypress, TX 77433-6802

Mailing address

2208 Converse St
Houston, TX 77006-1904
Phone (713) 303-8825

Other names 1

  • Marigold Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

21211 FM 529 Rd
Ste 106
Cypress, TX 77433
Phone (281) 520-3445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728691200000",
    "number": "1093535387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 CONVERSE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061904",
            "telephone_number": "713-303-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21211 FM 529 RD STE 106",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336802",
            "telephone_number": "281-520-3445",
            "fax_number": "281-345-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHIKA GOWALI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A",
        "authorized_official_last_name": "GOWALI",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-520-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marigold Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.