Individual provider Active NPI

Navaneetha Brindha Natchimuthu, DDS

  • Dentist
  • Dallas, TX
National Provider Identifier
1255596532
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24082 Issued in TX
Practice address
2223 Singleton Blvd #212
Dallas, TX 75212
Phone
(214) 678-9200
NPI assigned
Jul 25, 2008
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24082 TX Primary

Addresses

Primary practice location

2223 Singleton Blvd #212
Dallas, TX 75212

Mailing address

4431 W Walnut St
Ste a
Garland, TX 75042-4108
Phone (214) 678-9200

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
I20161110000011 TX Order and Referring Only - DentistPractitioner - Dentist 7618256983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24082TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Navaneetha Brindha Natchimuthu DDS, PLLC Dentist Current 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, 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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1255596532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 W WALNUT ST",
            "address_2": "STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424108",
            "telephone_number": "214-678-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 SINGLETON BLVD #212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75212",
            "telephone_number": "214-678-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATCHIMUTHU",
        "first_name": "NAVANEETHA BRINDHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.