Individual provider Active NPI

Rupa Govindarajan, BDS,DMD

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1245510106
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28699 Issued in TX
Practice address
1715 S Mays St
Suite E
Round Rock, TX 78664-6740
Phone
(512) 248-8888
NPI assigned
Aug 24, 2011
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28699 TX Primary

Addresses

Primary practice location

1715 S Mays St
Suite E
Round Rock, TX 78664-6740

Mailing address

2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001
Phone (512) 341-3200

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

LicenseStateTypeSpecialty
28699TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Best Dental, PC General Practice Past Accepting new patients
Round Rock Comfort Dentistry Dentist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1245510106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SAM BASS RD STE 108",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812001",
            "telephone_number": "512-341-3200",
            "fax_number": "512-341-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S MAYS ST",
            "address_2": "SUITE E",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646740",
            "telephone_number": "512-248-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVINDARAJAN",
        "first_name": "RUPA",
        "credential": "BDS,DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.