Akhilesh Shikaripur Mohan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36242 Issued in TX

Practice address

3203 Freedom Blvd Ste 400
Bryan, TX 77802-5018

Phone

(979) 985-5505

NPI assigned

Jun 30, 2020

Sex

Male

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 and National Provider Directory roles.

• Dentist in Bryan PLLC

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1396593133
  NPD

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1205453883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 FREEDOM BLVD STE 400",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025018",
            "telephone_number": "979-985-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 FREEDOM BLVD STE 400",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025018",
            "telephone_number": "979-985-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKARIPUR MOHAN",
        "first_name": "AKHILESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adi Shemesh, M.D PH.D
• Marjorie Shenkir, CRNA
• Sherry Sewrathan-Ghosh DO PA
• Sherwood Health Care Inc
• Adrienne Shields, L.P.C.
• Shine a Light in the Dark
• Anna Katherine Shine, MA, LPC-A
• Nolan Daniel Shipman, M.D.
• Christina Patrice Shipp
• Shir Lane Inc

• General Practice Dentistry in Bryan, TX
• Providers in Bryan, 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 Jun 30, 2020; 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.