Individual provider Active NPI

Rahul Mehta, D.M.D.

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1386082543
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30312 Issued in TX
Practice address
20057 Interstate 45 N
Spring, TX 77388-6303
Phone
(281) 805-7086
Fax
(281) 805-7080
NPI assigned
Jun 10, 2013
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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 30312 TX Primary

Addresses

Primary practice location

20057 Interstate 45 N
Spring, TX 77388-6303

Mailing address

20057 Interstate 45 N
Spring, TX 77388-6303
Phone (281) 805-7086

Other practice location 1

3000 Arlington Ave
Graduate Medical Education
Toledo, OH 43614-2595
Phone (419) 383-3504

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

LicenseStateTypeSpecialty
30312TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul Rajendra Mehta, DMD of Texas, PLLC General Practice CurrentSince Jan 21, 2024 Accepting new patients
Rahul Rajendra Mehta, DMD of Texas II, PLLC General Practice Current Accepting new patients

Locations

20057 Interstate 45 N
Spring, TX 77388
Phone (281) 805-7086

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1386082543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20057 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886303",
            "telephone_number": "281-805-7086",
            "fax_number": "281-805-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20057 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886303",
            "telephone_number": "281-805-7086",
            "fax_number": "281-805-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3504",
            "fax_number": "419-383-6127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RAHUL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

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