Mahesh Gondi D.M.D. PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22213 Issued in TX

Legal business name

MAHESH GONDI D.M.D. PLLC

Practice address

2440 N Josey LN
#103
Carrollton, TX 75006-1668

Phone

(972) 242-0696

Fax

(972) 242-2399

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mahesh B Gondi, D.M.D.

Title

Manager

Phone

(972) 242-0696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1124336086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 N JOSEY LN",
            "address_2": "SUITE # 103",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061668",
            "telephone_number": "972-242-0696",
            "fax_number": "972-242-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 N JOSEY LN",
            "address_2": "#103",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061668",
            "telephone_number": "972-242-0696",
            "fax_number": "972-242-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHESH GONDI D.M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "GONDI",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-242-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Maina
• Peninnah Maina

• Dental Clinic/Center in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.