Rahul Rajendra Mehta, DMD of Texas, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RAHUL RAJENDRA MEHTA, DMD OF TEXAS, PLLC

Practice address

20057 Interstate 45 N
Spring, TX 77388-6303

Phone

(281) 805-7086

Fax

(281) 805-7080

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Rahul R MehtaNPI 1386082543

Title

Clinical Director

Phone

(281) 805-7086

Specialties & licenses 1

Addresses

Other names 1

• Immediate Smiles Dentures & Dentistry - Spring, TX Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rahul Mehta, D.M.D.

  • General Practice Dentistry
  • Spring, TX
  • NPI 1386082543
  NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1184485807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20057 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886303",
            "telephone_number": "281-805-7086",
            "fax_number": "281-805-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20057 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886303",
            "telephone_number": "281-805-7086",
            "fax_number": "281-805-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHUL RAJENDRA MEHTA, DMD OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "281-805-7086"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immediate Smiles Dentures & Dentistry - Spring, TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Joseph Radomski, PTA
• Annette Amanda Radvansky, CPT
• Tarek Salah Rafati, M.D.
• Shyrose Rahemtulla, CDP, ALF
• Sana Rahman, LPC
• Ahsan Raina, D.M.D
• Elizabeth Ann Rainey
• Sisily Rainey, LPC
• Cara Rainwater
• Leisa Marie Rajotte, MPT

• General Practice Dentistry in Spring, TX
• Providers in Spring, 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 Jan 23, 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.