Organization Active NPI

Calallen Dental & Orthodontics PLLC

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1417486333
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25968 Issued in TX
Legal business name
CALALLEN DENTAL & ORTHODONTICS PLLC
Practice address
14101 Northwest Blvd Ste 111
Corpus Christi, TX 78410
Phone
(361) 450-6700
Fax
(361) 450-6664
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Mr. Geetika Rastogi
Title
Owner
Phone
(832) 369-6941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 25968 TX Primary

Addresses

Primary practice location

14101 Northwest Blvd Ste 111
Corpus Christi, TX 78410

Mailing address

3838 N Sam Houston Pkwy E Ste 430
Houston, TX 77032-3418
Phone (832) 369-6941

Other names 1

  • Calallen Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

14101 Northwest Blvd
Ste 111
Corpus Christi, TX 78410
Phone (361) 450-6700

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1417486333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N SAM HOUSTON PKWY E STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323418",
            "telephone_number": "832-369-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 NORTHWEST BLVD STE 111",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78410",
            "telephone_number": "361-450-6700",
            "fax_number": "361-450-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALALLEN DENTAL & ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "GEETIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-369-6941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calallen Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calallen Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.