NPIMap

Organization Active NPI

Lytle Dental PLLC

  • General Practice Dentistry
  • Lytle, TX
National Provider Identifier
1508372129
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
LYTLE DENTAL PLLC
Practice address
19450 McDonald St Ste 101
Lytle, TX 78052-3649
Phone
(281) 328-4900
NPI assigned
Dec 19, 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
Dr. 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

19450 McDonald St Ste 101
Lytle, TX 78052-3649

Mailing address

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

Other names 1

  • LYTLE DENTAL & ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1508372129",
    "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": "19450 MCDONALD ST STE 101",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523649",
            "telephone_number": "281-328-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYTLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "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": "Dr."
    },
    "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": "LYTLE DENTAL & ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lytle, 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.