Organization Active NPI

Viva Smiles Wells Branch PLLC

  • General Practice Dentistry
  • Pflugerville, TX
National Provider Identifier
1356110852
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VIVA SMILES WELLS BRANCH PLLC
Practice address
1420 W Wells Branch Pkwy Ste 490
Pflugerville, TX 78660-3170
Phone
(512) 838-3888
Fax
(512) 953-2888
NPI assigned
Dec 26, 2023
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Dr. Srinivas R Durshanapalli, DDSNPI 1710265434
Title
Manager
Phone
(203) 215-4687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1420 W Wells Branch Pkwy Ste 490
Pflugerville, TX 78660-3170

Mailing address

1420 W Wells Branch Pkwy Ste 490
Pflugerville, TX 78660-3170
Phone (512) 838-3888

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1356110852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W WELLS BRANCH PKWY STE 490",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603170",
            "telephone_number": "512-838-3888",
            "fax_number": "512-953-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W WELLS BRANCH PKWY STE 490",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603170",
            "telephone_number": "512-838-3888",
            "fax_number": "512-953-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA SMILES WELLS BRANCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "DURSHANAPALLI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-215-4687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.