Organization Active NPI

Supritha V Hangal PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1174074132
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28426 Issued in TX
Legal business name
SUPRITHA V HANGAL PLLC
Doing business as
Brite Dental Center
Practice address
15002 Ella Blvd Ste 42
Houston, TX 77090-5622
Phone
(281) 872-9696
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Supritha Hangal, DDS
Title
Owner
Phone
(216) 269-7199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 28426 TX Primary

Addresses

Primary practice location

15002 Ella Blvd Ste 42
Houston, TX 77090-5622

Mailing address

15002 Ella Blvd Ste 42
Houston, TX 77090-5622
Phone (281) 872-9696

Other identifiers 1

IdentifierTypeStateIssuer
304469526MedicaidTX

Other names 1

  • Brite Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

15002 Ella Blvd
Ste 42
Houston, TX 77090
Phone (281) 872-9696

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1174074132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 ELLA BLVD STE 42",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905622",
            "telephone_number": "281-872-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15002 ELLA BLVD STE 42",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905622",
            "telephone_number": "281-872-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPRITHA V HANGAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "HANGAL",
        "authorized_official_first_name": "SUPRITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-269-7199",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304469526",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brite Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

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