Organization Active NPI

Mohan VR NB PLLC

  • General Practice Dentistry
  • New Braunfels, TX
National Provider Identifier
1306588058
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOHAN VR NB PLLC
Practice address
1671 Ih 35 E Ste 300
New Braunfels, TX 78130-6823
Phone
(830) 730-5600
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Mohan Raj Jaganathan, DDS
Title
Owner/Dentist
Phone
(830) 730-5600

Specialties & licenses 1

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

Addresses

Primary practice location

1671 Ih 35 E Ste 300
New Braunfels, TX 78130-6823

Mailing address

1671 Ih 35 E Ste 300
New Braunfels, TX 78130-6823
Phone (830) 730-5600

Other names 1

  • Elite Dental of New Braunfels Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Dental of New Braunfels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1306588058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 IH 35 E STE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306823",
            "telephone_number": "830-730-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 IH 35 E STE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306823",
            "telephone_number": "830-730-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN VR NB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "JAGANATHAN",
        "authorized_official_first_name": "MOHAN RAJ",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "830-730-5600",
        "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": "Elite Dental of New Braunfels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.