Organization Active NPI

Eldorado Family Dentistry, PA

  • General Practice Dentistry
  • Little Elm, TX
National Provider Identifier
1093832693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20557 Issued in TX
Legal business name
ELDORADO FAMILY DENTISTRY, PA
Practice address
2405 FM 423 Ste 100
Little Elm, TX 75068-6666
Phone
(214) 705-7272
Fax
(214) 705-7892
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sejal Kamalesh Vinayagamurthy, D.D.S.
Title
Dentist
Phone
(214) 705-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20557 TX Primary

Addresses

Primary practice location

2405 FM 423 Ste 100
Little Elm, TX 75068-6666

Mailing address

2405 FM 423 Ste 100
Little Elm, TX 75068-6666
Phone (214) 705-7272

National Provider Directory

National Provider Directory

Locations

2405 FM 423
Ste 100
Little Elm, TX 75068
Phone (214) 705-1292

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093832693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 FM 423 STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686666",
            "telephone_number": "214-705-7272",
            "fax_number": "214-705-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 FM 423 STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686666",
            "telephone_number": "214-705-7272",
            "fax_number": "214-705-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORADO FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINAYAGAMURTHY",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_middle_name": "KAMALESH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "214-705-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.