Organization Active NPI

Town East Dental

  • General Practice Dentistry
  • Mesquite, TX
National Provider Identifier
1376791327
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20923 Issued in TX
Legal business name
TOWN EAST DENTAL
Practice address
5115 N Galloway Ave
Suite 203
Mesquite, TX 75150-7526
Phone
(972) 226-5582
Fax
(972) 226-6283
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Dr. Rajeswari Guntnur, DDS
Title
Dentist
Phone
(972) 226-5582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20923 TX Primary

Addresses

Primary practice location

5115 N Galloway Ave
Suite 203
Mesquite, TX 75150-7526

Mailing address

5115 N Galloway Ave
Suite 203
Mesquite, TX 75150-7526
Phone (972) 226-5582

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1376791327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N GALLOWAY AVE",
            "address_2": "SUITE 203",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507526",
            "telephone_number": "972-226-5582",
            "fax_number": "972-226-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N GALLOWAY AVE",
            "address_2": "SUITE 203",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507526",
            "telephone_number": "972-226-5582",
            "fax_number": "972-226-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN EAST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GUNTNUR",
        "authorized_official_first_name": "RAJESWARI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-226-5582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.