Individual provider Active NPI

Poorandai Shivbaran, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1568031086
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39953 Issued in TX
Practice address
4530 Dacoma St Unit 500
Houston, TX 77092-8633
Phone
(346) 398-5390
NPI assigned
Jun 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39953 TX Primary
General Practice Dentistry 1223G0001X DN25999 FL

Addresses

Primary practice location

4530 Dacoma St Unit 500
Houston, TX 77092-8633

Mailing address

4530 Dacoma St Unit 500
Houston, TX 77092-8633
Phone (346) 398-5390

Other names 1

  • Mrs. Poorandai Sanicharran Former name

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

LicenseStateTypeSpecialty
DN25999FLMDGeneral Practice Dentistry
39953TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1568031086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 DACOMA ST UNIT 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928633",
            "telephone_number": "346-398-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 DACOMA ST UNIT 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928633",
            "telephone_number": "346-398-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVBARAN",
        "first_name": "POORANDAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39953",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POORANDAI",
            "last_name": "SANICHARRAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.