Mridul Chakarvarty, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

30321 Issued in TX

Practice address

3410 Far West Blvd Ste 300
Austin, TX 78731-3272

Phone

(512) 596-1140

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellside Health PLLC

  dba Central Texas TMJ Facial Pain and Sleep Center

  • Orofacial Pain Dentistry
  • Austin, TX
  • NPI 1114860335
  NPD (past) Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1417356536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313272",
            "telephone_number": "512-596-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313272",
            "telephone_number": "512-596-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKARVARTY",
        "first_name": "MRIDUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "TX",
            "license": "30321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne M Chagoly, RN,CNS
• Marisa L Chagoya, M.D.
• Julia Chahine, PA-C
• Tira Chaicha-Brom, M.D.
• Erin Chaires
• Ipsita Chakrabarti, BCBA
• Subhrojit Chakraborti
• Ayan Kumar Chakraborty, DPT
• Ripa Chakravorty, MD
• Renu Chalasani, MD

• Orofacial Pain Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Orofacial Pain Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.