Active NPI
Sneha Rajguru
- General Practice Dentistry
- Killeen, TX
National Provider Identifier
1538892989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38677
- Practice address
- 3650 W Stan Schlueter Loop Ste 160
Killeen, TX 76549-6814 - Phone
- (254) 267-0451
- NPI assigned
- Jul 5, 2022
- Last updated
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38677 | TX | Primary |
Addresses
Primary practice location
3650 W Stan Schlueter Loop Ste 160
Killeen, TX 76549-6814
Mailing address
401 Teravista Pkwy
Apt 937
Round Rock, TX 78665
Phone (734) 353-2840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Software | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38677 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1538892989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 TERAVISTA PKWY",
"address_2": "APT 937",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "78665",
"telephone_number": "734-353-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 W STAN SCHLUETER LOOP STE 160",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765496814",
"telephone_number": "254-267-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJGURU",
"first_name": "SNEHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2022-07-05",
"certification_date": "2022-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "38677",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Software",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3650 W Stan Schlueter Loop Ste 160",
"city": "Killeen",
"state": "TX",
"country_code": "US",
"postal_code": "765496814",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.