NPIMap

Organization Active NPI

Pravasa PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Katy, TX
National Provider Identifier
1437840329
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PRAVASA PLLC
Practice address
5125 Peek Rd
Katy, TX 77493
Phone
(832) 449-2993
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Jaanki PatelNPI 1831410430
Title
Manager
Phone
(832) 449-2993

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

5125 Peek Rd
Katy, TX 77493

Mailing address

2014 Cypress Run Dr
Sugar Land, TX 77478-5294

National Provider Directory

National Provider Directory
Tax ID family
Pravasa PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1437840329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 CYPRESS RUN DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 PEEK RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77493",
            "telephone_number": "832-449-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVASA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAANKI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-449-2993"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

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