Individual provider Active NPI

Ankur Jayendra Desai, DDS

  • Dentist
  • Pflugerville, TX
National Provider Identifier
1497905400
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37202 Issued in TX
Practice address
15424 FM 1825 Ste 120
Pflugerville, TX 78660-3148
Phone
(512) 595-7542
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02387800 NJ
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37202 TX
Dentist 122300000X 37202 TX Primary

Addresses

Primary practice location

15424 FM 1825 Ste 120
Pflugerville, TX 78660-3148

Mailing address

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

Other practice location 1

217 Mount Vernon Way
Liberty Hill, TX 78642-6421
Phone (914) 299-5219

Other practice location 2

201 Saint Joseph Ct Ste 100
Liberty Hill, TX 78642-3404
Phone (737) 216-7731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20160217000297 NJ Order and Referring Only - DentistPractitioner - Dentist 3971808742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02387800NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Karmm Dental Group PLLC CurrentSince Jun 8, 2025 Accepting new patients
Dagv PA General Practice PastSince May 16, 2021 Accepting new patients
Healthy Smiles Family Dentistry Dentist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1497905400",
    "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": "15424 FM 1825 STE 120",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603148",
            "telephone_number": "512-595-7542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Mount Vernon Way",
            "address_purpose": "LOCATION",
            "city": "Liberty Hill",
            "state": "TX",
            "postal_code": "786426421",
            "country_code": "US",
            "telephone_number": "914-299-5219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Saint Joseph Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Liberty Hill",
            "state": "TX",
            "postal_code": "786423404",
            "country_code": "US",
            "telephone_number": "737-216-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ANKUR",
        "middle_name": "JAYENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02387800",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37202",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.