Active NPI
Abhishek Jahagirdar, DDS
- Dentist
- Lubbock, TX
National Provider Identifier
1194337659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36982
- Practice address
- 5709 4TH St
Lubbock, TX 79416-4241 - Phone
- (806) 507-3944
- NPI assigned
- Aug 17, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 105276 | CA | |
| Dentist | 122300000X | 36982 | TX | Primary |
Addresses
Primary practice location
5709 4TH St
Lubbock, TX 79416-4241
Mailing address
5800 N I 35 Ste 205
Denton, TX 76207-1438
Phone (940) 220-7833
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 |
|---|---|---|---|
| 105276 | CA | MD | Clinical Social Worker |
| 36982 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4TH Street Dental, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Lubbock, TX
- NPI 1306347711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754179200000",
"number": "1194337659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 N I 35 STE 205",
"city": "DENTON",
"state": "TX",
"postal_code": "762071438",
"telephone_number": "940-220-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5709 4TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794164241",
"telephone_number": "806-507-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAHAGIRDAR",
"first_name": "ABHISHEK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2025-08-03",
"certification_date": "2025-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105276",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.