Desoto Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22213 Issued in TX

Legal business name

DESOTO DENTAL PLLC

Practice address

116 W Parkerville Rd
Ste # 112
Desoto, TX 75115

Phone

(972) 750-0610

NPI assigned

Oct 12, 2015

Last updated

Feb 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mahesh Babu Gondi, D.M.D.NPI 1306909080

Title

President

Phone

(972) 750-0610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahesh Babu Gondi, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edinburg, TX
  • NPI 1306909080
  Authorized official Same address or phone

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1275904641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PARKWOOD BLVD",
            "address_2": "#310",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938750",
            "telephone_number": "972-750-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W PARKERVILLE RD",
            "address_2": "STE # 112",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-750-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "GONDI",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-750-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Health Associates of Texas, PC (CFD Smile of Desoto)
• Jasmine Nicole Denton, DC
• Dera Healthcare System Inc.
• Krunal Desai, DDS
• Designed to Thrive PLLC
• Desoto Family Care & Surgery Center
• Desoto Happy Teeth PC
• Desoto Home Healthcare,Inc.
• Desoto I Enterprises, LLC (Five Points Nursing and Rehabilitation)
• Desoto II Enterprises, LLC (DeSoto Nursing & Rehabilitation Center)

• Dental Clinic/Center in Desoto, TX
• Providers in Desoto, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.