Bandana Bista, DDS
Individual provider Active NPI Dentist · Paris, TX
NPI 1609974997 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1609974997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30180 (TX)
- Practice address
- 4520 Lamar Ave
Paris, TX 75462-5119 - Phone
- (903) 737-8543
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS035779 | PA | MD | Dentist |
| 30180 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert D. Esparza, DDS, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS035779 | PA | |
| Dentist | 122300000X | 30180 | TX | Yes |
Addresses
Primary practice location
4520 Lamar Ave
Paris, TX 75462-5119
Mailing address
543 Brookes Way
Reno, TX 75462-6025
Phone (646) 645-0761
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.