Sri Aravind Thatikonda, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

33768 Issued in TX

Practice address

5770
Hollister St
Houston, TX 77040

Phone

(630) 347-3417

NPI assigned

Aug 26, 2016

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Admire Dental PLLC

  • General Practice Dentistry
  • Jersey Village, TX
  • NPI 1013741016
  NPD Authorized official
• Jasper Family Dental

  • Dentist
  • Jasper, TX
  • NPI 1699104000
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1285180653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 PADRON PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914429",
            "telephone_number": "630-347-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770",
            "address_2": "HOLLISTER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77040",
            "telephone_number": "630-347-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATIKONDA",
        "first_name": "SRI ARAVIND",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Marie Tharp, PA-C
• That Missing Peace Counseling and Consulting PLLC
• That Self Care Junkie
• Giavanna Thatcher, PA-C
• Jennie Thatcher
• Thats So Speechie PLLC
• Khin L Thaw, DDS
• Patricia Sowder Thayer, M.D.
• THC - Houston, LLC (Kindred Hospital (Houston NW))
• THC - Houston, LLC (Kindred Hospital (Houston NW Acute Rehab Unit))

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.