Gayatri Pradhan DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GAYATRI PRADHAN DDS PLLC

Doing business as

Alpha Dental

Practice address

916 Coronado Blvd
Universal City, TX 78148-3226

Phone

(714) 675-8185

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gayatri Pradhan

Title

Owner

Phone

(714) 675-8185

Specialties & licenses 1

Addresses

Other names 1

• Alpha Dental Doing business as

Tax ID family

Alpha Dental2 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.

• Gayatri Pradhan DDS PLLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1700535994
  NPD tax ID

Locations

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1538908330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 CORONADO BLVD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 CORONADO BLVD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483226",
            "telephone_number": "714-675-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYATRI PRADHAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "GAYATRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-675-8185",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norena Garcia
• Mayra E Garrett
• George Anthony Garza
• Konstantin Victorovich Gawlik, PHARM.D.
• April Gaxiola
• Alexis Giles
• Haley Gill, DPT, OCS
• Tracie Lorraine Gilliland, LVN
• Devonte O'Shea Glass
• Angelina Jovita Gonzales

• General Practice Dentistry in Universal City, TX
• Providers in Universal City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.