Organization Active NPI

Wellside Health PLLC

  • Orofacial Pain Dentistry
  • Austin, TX
National Provider Identifier
1114860335
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
WELLSIDE HEALTH PLLC
Doing business as
Central Texas TMJ Facial Pain and Sleep Center
Practice address
3410 Far West Blvd Ste 300
Austin, TX 78731-3272
Phone
(512) 596-1140
Fax
(512) 727-0556
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Mridul ChakarvartyNPI 1417356536
Title
Owner/Provider
Phone
(512) 596-1140

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
Orofacial Pain DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X2210X Primary

Addresses

Primary practice location

3410 Far West Blvd Ste 300
Austin, TX 78731-3272

Mailing address

7301 Moon Rock Rd
Austin, TX 78739-2233
Phone (512) 596-1140

Other names 1

  • Central Texas TMJ Facial Pain and Sleep Center Doing business as

National Provider Directory

National Provider Directory

Locations

3410 Far West Blvd
Ste 300
Austin, TX 78731
Phone (512) 596-1140

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": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1114860335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MOON ROCK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392233",
            "telephone_number": "512-596-1140",
            "fax_number": "512-727-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313272",
            "telephone_number": "512-596-1140",
            "fax_number": "512-727-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSIDE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "CHAKARVARTY",
        "authorized_official_first_name": "MRIDUL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "512-596-1140"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas TMJ Facial Pain and Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.