Active NPI
Harish Gogineni, DDS
- General Practice Dentistry
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32853
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 32853 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Dental Care PLLC | General Practice | Current | Accepting new patients |
| Advanced Smile Center | General Practice | Past | 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.
-
dba Advanced smile center
- General Practice Dentistry
- Austin, TX
- NPI 1275296717
-
- General Practice Dentistry
- Austin, TX
- NPI 1104154251
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.