Individual provider Active NPI

James A Varghese, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1114048758
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17873 Issued in TX
Practice address
6780 Abrams Rd
Suite 207
Dallas, TX 75231-7180
Phone
(214) 340-4867
Fax
(214) 341-3296
NPI assigned
Apr 2, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17873 TX
General Practice Dentistry 1223G0001X 17873 TX Primary

Addresses

Primary practice location

6780 Abrams Rd
Suite 207
Dallas, TX 75231-7180

Mailing address

9090 Skillman St
Suite 200C
Dallas, TX 75243-8259
Phone (214) 342-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17873TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brident Dental Associates PC Dentist Past Accepting new patients
South Texas Dental Associates, LP General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114048758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 SKILLMAN ST",
            "address_2": "SUITE 200C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438259",
            "telephone_number": "214-342-5757",
            "fax_number": "214-340-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 ABRAMS RD",
            "address_2": "SUITE 207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317180",
            "telephone_number": "214-340-4867",
            "fax_number": "214-341-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17873",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.