Organization Active NPI

Dentist at Plumcreek PLLC

  • General Practice Dentistry
  • Kyle, TX
National Provider Identifier
1306540737
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTIST AT PLUMCREEK PLLC
Practice address
400 Wetzel
Kyle, TX 78640
Phone
(512) 256-0206
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Mahesh Dholariya, DDS
Title
Owner
Phone
(512) 256-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

400 Wetzel
Kyle, TX 78640

Mailing address

400 Wetzel
Kyle, TX 78640

Other names 1

  • Dentist At Plum Creek Doing business as

National Provider Directory

National Provider Directory

Locations

400 Wetzel
Kyle, TX 78640
Phone (512) 256-0206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1306540737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WETZEL",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WETZEL",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-256-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST AT PLUMCREEK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "DHOLARIYA",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-256-0206",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentist At Plum Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.