Individual provider Active NPI

Harish Gogineni, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1285161372
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32853 Issued in TX
Practice address
3407 Wells Branch Pkwy Ste 700
Austin, TX 78728-6619
Phone
(512) 244-7677
NPI assigned
May 19, 2017
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32853 TX
General Practice Dentistry 1223G0001X 32853 TX Primary

Addresses

Primary practice location

3407 Wells Branch Pkwy Ste 700
Austin, TX 78728-6619

Mailing address

3407 Wells Branch Pkwy Ste 700
Austin, TX 78728-6619
Phone (512) 244-7677

Other practice location 1

4403 Sherwood Way
San Angelo, TX 76901-5616
Phone (325) 340-1594

Other practice location 2

4403 Sherwood Way
San Angelo, TX 76901-5616
Phone (325) 340-1594

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
32853TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Dental Care PLLC General Practice CurrentSince Oct 24, 2021 Accepting new patients
Advanced Smile Center General Practice PastSince Oct 10, 2021 Accepting new patients

Locations

3407 Wells Branch Pkwy
Ste 700
Austin, TX 78728
Phone (512) 244-7677

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, 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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1285161372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WELLS BRANCH PKWY STE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286619",
            "telephone_number": "512-244-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WELLS BRANCH PKWY STE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286619",
            "telephone_number": "512-244-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4403 Sherwood Way",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769015616",
            "country_code": "US",
            "telephone_number": "325-340-1594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4403 Sherwood Way",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769015616",
            "country_code": "US",
            "telephone_number": "325-340-1594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGINENI",
        "first_name": "HARISH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32853",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.