Dynamic Gastroenterology, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DYNAMIC GASTROENTEROLOGY, PLLC

Practice address

7777 Southwest Fwy
Suite 544
Houston, TX 77074-1802

Phone

(832) 835-3009

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Dipti Bavishi, M.D.

Title

Director

Phone

(832) 835-3009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1396197547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE 544",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE 544",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "832-835-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "BAVISHI",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-835-3009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.