Poonam Rai LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24352 Issued in TX

Legal business name

POONAM RAI LLC

Practice address

2704 Cross Timbers Rd
#108
Flower Mound, TX 75028-2756

Phone

(972) 874-1890

Fax

(972) 874-0839

NPI assigned

Apr 16, 2013

Organization subpart

No

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

Authorized official

Name

Poonam Rai, DDS

Title

Owner

Phone

(972) 874-1890

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Guerrero

  • General Practice Dentistry
  • Flower Mound, TX
  • NPI 1598167355
  NPD (past)
• Behrooz Niknam, D.D.S.

  • General Practice Dentistry
  • Flower Mound, TX
  • NPI 1275698441
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1285077693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 CROSS TIMBERS RD",
            "address_2": "#108",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282756",
            "telephone_number": "972-874-1890",
            "fax_number": "972-874-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 CROSS TIMBERS RD",
            "address_2": "#108",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282756",
            "telephone_number": "972-874-1890",
            "fax_number": "972-874-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POONAM RAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-874-1890",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeff Pinney
• Playhouse Speech Therapy, PLLC
• Srivarsha Ponna
• Leena Rama Ponnapalli, DMD
• Nicholas Ponomarenko, D.C.
• Husein Imtiaz Poonawala, M.D.
• Shawne Poplar, MA LPC
• Mary Vivian Porter, LCSW LPC
• Grace Powers
• Prairie Creek Counseling, PLLC

• General Practice Dentistry in Flower Mound, TX
• Providers in Flower Mound, 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 Apr 16, 2013; 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.