Individual provider Active NPI

Sumit Jindal

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1326344995
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0026278 Issued in TX
Practice address
5414 Antoine Dr
Houston, TX 77091-4951
Phone
(832) 538-1980
Fax
(832) 519-9948
NPI assigned
Jan 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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 0026278 TX Primary

Addresses

Primary practice location

5414 Antoine Dr
Houston, TX 77091-4951

Mailing address

5414 Antoine Dr
Houston, TX 77091-4951
Phone (832) 538-1980

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
I20160216000757 TX Order and Referring Only - DentistPractitioner - Dentist 8527363316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0026278TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jindal Dental Associates Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1326344995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914951",
            "telephone_number": "832-538-1980",
            "fax_number": "832-519-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914951",
            "telephone_number": "832-538-1980",
            "fax_number": "832-519-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDAL",
        "first_name": "SUMIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0026278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.