Individual provider Active NPI

Vaishnavi Ramavajla

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1174284608
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38065 Issued in TX
Practice address
1745 Sam Bass Rd Ste 100
Round Rock, TX 78681-2594
Phone
(512) 341-3200
NPI assigned
Jan 6, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38065 TX Primary

Addresses

Primary practice location

1745 Sam Bass Rd Ste 100
Round Rock, TX 78681-2594

Mailing address

20800 Maggie LN
Pflugerville, TX 78660-7287
Phone (201) 360-1061

Other practice location 1

10125 Lake Creek Pkwy
Austin, TX 78729-1711
Phone (512) 331-6677

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
38065TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mydental at Elgin PLLC General Practice CurrentSince Jun 26, 2022 Accepting new patients

Locations

1380 W US Highway 290
Ste 200
Elgin, TX 78621
Phone (512) 649-5005

Organizations & group practices 1

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1174284608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 MAGGIE LN",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607287",
            "telephone_number": "201-360-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SAM BASS RD STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812594",
            "telephone_number": "512-341-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10125 Lake Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787291711",
            "country_code": "US",
            "telephone_number": "512-331-6677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAVAJLA",
        "first_name": "VAISHNAVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.