Tanvi Dusane

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32489 Issued in TX

Practice address

1220 N Velasco St
Angleton, TX 77515-3197

Phone

(979) 849-5771

NPI assigned

Aug 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sparkle123Pllc

  dba Rosenberg Smiles

  • General Practice Dentistry
  • Rosenberg, TX
  • NPI 1871238998
  Medicare reassignment NPD Authorized official
• Smile123Pllc

  • General Practice Dentistry
  • Angleton, TX
  • NPI 1457816431
  NPD Authorized official

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1578017455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17422 MEADOW LIGHT DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N VELASCO ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153197",
            "telephone_number": "979-849-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSANE",
        "first_name": "TANVI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32489",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindie Dollery
• Dr. Kent Summers DC Chiropractic PLLC
• Virginia Gayle Dreyer, CCC-SLP
• Angela Lynn Dunbar, FNP
• Forrest Mann Dunn, D.D.S.
• East Broadway Pharmacy LLC
• Peter F. Edemekong, MD, MPH
• Godwin Onwordi Elumelu
• John K Erskine, RPH
• Nora Etheridge

• General Practice Dentistry in Angleton, TX
• Providers in Angleton, 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 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.