JSN Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23460 Issued in TX

Legal business name

JSN DENTAL PLLC

Doing business as

NRH Family Dentistry

Practice address

8849 N Tarrant Pkwy
Suite# 105
North Richland Hills, TX 76182-7695

Phone

(817) 381-1122

NPI assigned

May 22, 2012

Last updated

May 22, 2012By 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. Suguna Gottam, DDSNPI 1932308673

Title

Member

Phone

(817) 381-1122

Specialties & licenses 1

Addresses

Other names 1

• NRH Family Dentistry Doing business as

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.

• Suguna Gottam, DDS

  • General Practice Dentistry
  • North Richland Hills, TX
  • NPI 1932308673
  NPD (past) Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1285994483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 FAULKNER PT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635429",
            "telephone_number": "858-231-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 N TARRANT PKWY",
            "address_2": "SUITE# 105",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761827695",
            "telephone_number": "817-381-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "GOTTAM",
        "authorized_official_first_name": "SUGUNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-381-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NRH Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haylie Jones
• Kimberly Karen Jones, CRNA
• Kristen Kate Jones
• April Love Jordan
• Claudia E Jove
• Jinuk Jung
• Kajt, PLLC
• Melinda Anne Kallmeyer, LPC-S
• Victor C Kalu, M.D.
• Osler Kamath, D.C.

• General Practice Dentistry in North Richland Hills, TX
• Providers in North Richland Hills, 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 May 22, 2012; 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.