Vijaya Lakshmi Bathina, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29516 Issued in TX

Practice address

794 Keller Pkwy Ste a
Keller, TX 76248-2490

Phone

(817) 431-1596

NPI assigned

Aug 21, 2012

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1306194451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 HIDDEN MEADOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481229",
            "telephone_number": "806-420-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 KELLER PKWY STE A",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482490",
            "telephone_number": "817-431-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHINA",
        "first_name": "VIJAYA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856099",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029181",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula M Baron, PT
• Kelsey Barrett, LPC
• Prabha Basnet
• Jeanne Bass, R.D.H.
• Dustin Bassow, LMSW
• Malina Lynn Bauer, RDH
• Jessfor G Baugh, DMD
• Julie Baughman
• Baylor Regional Medical Center at Grapevine (Baylor Diagnostic Imaging Center - Keller)
• Bear Creek Pharmacy LLC

• General Practice Dentistry in Keller, TX
• Providers in Keller, 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 Jan 17, 2022; 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.