Active NPI
Sumeet Singh Malhotra, DMD
- General Practice Dentistry
- Portland, TX
National Provider Identifier
1174834105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0026104
- Practice address
- 1548 Wildcat Dr
Portland, TX 78374-2814 - Phone
- (361) 777-0700
- Fax
- (361) 777-0300
- NPI assigned
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0026104 | TX | Primary |
| General Practice Dentistry | 1223G0001X | DN1855463 | MA |
Addresses
Primary practice location
1548 Wildcat Dr
Portland, TX 78374-2814
Mailing address
1548 Wildcat Dr
Portland, TX 78374-2814
Phone (361) 777-0700
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855463 | MA | MD | General Practice Dentistry |
| 0026104 | TX | MD | General Practice Dentistry |
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Rockport, TX
- NPI 1497396873
-
- Dentist
- Portland, TX
- NPI 1356683668
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1962041640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1174834105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 WILDCAT DR",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742814",
"telephone_number": "361-777-0700",
"fax_number": "361-777-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 WILDCAT DR",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742814",
"telephone_number": "361-777-0700",
"fax_number": "361-777-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHOTRA",
"first_name": "SUMEET",
"middle_name": "SINGH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "0026104",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1855463",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, TX
- Ricardo Leveck Jr., PHARM.D.
- Kim Marie Lindsey, SLP
- Lone Star Evaluations Inc. (Occucare International)
- Rebecca Lovins
- Luxottica of America Inc (Target Optical P739)
- Raymond Pampolina Manahan, IDC
- Angela Garcia Marroquin, SLP - INTER
- Joseph Daniel Martinez, PHARMD
- Lorraine Elizabeth Martinez, MS-SLP-CCC
- Shelby Danielle Martinez, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.