Organization Active NPI

Karmm Dental Group PLLC

  • Dental Clinic/Center
  • Liberty Hill, TX
National Provider Identifier
1407552433
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KARMM DENTAL GROUP PLLC
Practice address
201 Saint Joseph CT Ste 101-102
Liberty Hill, TX 78642-3403
Phone
(737) 216-7731
Fax
(737) 216-7732
NPI assigned
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Ankur Jayendra Desai, DDSNPI 1497905400
Title
Partner
Phone
(737) 216-7732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

201 Saint Joseph CT Ste 101-102
Liberty Hill, TX 78642-3403

Mailing address

2521 Grey Mountain Pass
Leander, TX 78641-3986
Phone (914) 299-5219

Other identifiers 3

IdentifierTypeStateIssuer
1528197225MedicaidTX
1497905400MedicaidTX
1164551867MedicaidTX

National Provider Directory

National Provider Directory

Locations

201 Saint Joseph Ct
Ste 101102
Liberty Hill, TX 78642
Phone (737) 216-7731

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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1407552433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GREY MOUNTAIN PASS",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413986",
            "telephone_number": "914-299-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT JOSEPH CT STE 101-102",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786423403",
            "telephone_number": "737-216-7731",
            "fax_number": "737-216-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARMM DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_middle_name": "JAYENDRA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "737-216-7732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528197225",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497905400",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164551867",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.