Active NPI
Mahesh Babu Gondi, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Edinburg, TX
National Provider Identifier
1306909080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22213
- Practice address
- 1560 E Canton Rd Ste G
Edinburg, TX 78542-2995 - Phone
- (956) 415-0343
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22213 | TX | Primary |
Addresses
Primary practice location
1560 E Canton Rd Ste G
Edinburg, TX 78542-2995
Mailing address
1902 Cynthia LN
Mission, TX 78573-8510
Phone (972) 750-0610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22213 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1306909080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 CYNTHIA LN",
"city": "MISSION",
"state": "TX",
"postal_code": "785738510",
"telephone_number": "972-750-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 E CANTON RD STE G",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785422995",
"telephone_number": "956-415-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONDI",
"first_name": "MAHESH",
"middle_name": "BABU",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2021-09-10",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "22213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.