Radhika Gowali, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30617 Issued in TX

Practice address

21211 FM 529 Rd Ste 106
Cypress, TX 77433-6802

Phone

(281) 520-3445

NPI assigned

Sep 27, 2014

Last updated

Oct 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Radhika Gowali DDS PLLC

  dba Marigold Family Dentistry

  • Dentist
  • Cypress, TX
  • NPI 1093535387
  NPD Authorized official

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1184027773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 CONVERSE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061904",
            "telephone_number": "713-303-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21211 FM 529 RD STE 106",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336802",
            "telephone_number": "281-520-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWALI",
        "first_name": "RADHIKA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-27",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cypress, TX
• Providers in Cypress, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.