Individual provider Active NPI

Vandan S Desai, D.D.S.

  • General Practice Dentistry
  • New Braunfels, TX
National Provider Identifier
1316357395
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31811 Issued in TX
Practice address
1583 Common St Ste 205
New Braunfels, TX 78130-3174
Phone
(830) 625-2111
NPI assigned
Apr 30, 2014
Last updated
Feb 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31811 TX Primary

Addresses

Primary practice location

1583 Common St Ste 205
New Braunfels, TX 78130-3174

Mailing address

25831 Warbler VW
San Antonio, TX 78255-4401
Phone (210) 547-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325000119 TX Order and Referring Only - DentistPractitioner - Dentist 8527581131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Park Oaks Dental CurrentSince Apr 9, 2023 Accepting new patients
Desai Dentistry PLLC CurrentSince Jan 21, 2022 Accepting new patients

Locations

15900 La Cantera Pkwy
Ste 20250
San Antonio, TX 78256
Phone (210) 877-0000

16616 San Pedro Ave
San Antonio, TX 78232
Phone (210) 384-8282

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1316357395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25831 WARBLER VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782554401",
            "telephone_number": "210-547-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 COMMON ST STE 205",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303174",
            "telephone_number": "830-625-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "VANDAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.