Individual provider Active NPI

Rajashree Prasad, DMD

  • Dentist
  • Austin, TX
National Provider Identifier
1245769454
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33080 Issued in TX
Practice address
9222 W Parmer LN
Austin, TX 78717-4676
Phone
(512) 363-5222
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33080 TX Primary

Addresses

Primary practice location

9222 W Parmer LN
Austin, TX 78717-4676

Mailing address

615 Seminole Canyon Dr
Georgetown, TX 78628-7220
Phone (408) 507-1287

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Austin Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210406001952 TX Practitioner - Dentist 6507273794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raj Dental Inc CurrentSince Apr 1, 2021 Accepting new patients
Bright Side Dental Austin PastSince Mar 4, 2021 Accepting new patients

Locations

9222 W Parmer Ln
Austin, TX 78717
Phone (512) 363-5222

9222 W Parmer Ln
Ste A
Austin, TX 78717
Phone (572) 363-5222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1245769454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SEMINOLE CANYON DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786287220",
            "telephone_number": "408-507-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174676",
            "telephone_number": "512-363-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "RAJASHREE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Austin",
            "affiliation": "N",
            "endpointDescription": "DENTISTRY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9222 W Parmer Ln",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787174676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.