Oshmi Dutta, BDS, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

25259 Issued in TX

Practice address

18707 Hardy Oak Blvd
Suite 305
San Antonio, TX 78258-4791

Phone

(210) 888-0700

Fax

(210) 625-7398

NPI assigned

Oct 12, 2006

Last updated

Sep 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 29, 2018 through Nov 29, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Kusom Pediatric Dental South PLLC

  dba Great Kids Dental

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1669011235
  Authorized official Same address or phone
• World Pediatric Dental

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1407256647
  Authorized official Same address or phone

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1639268907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 PRESCOTT OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583851",
            "telephone_number": "425-785-6000",
            "fax_number": "210-625-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD",
            "address_2": "SUITE 305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584791",
            "telephone_number": "210-888-0700",
            "fax_number": "210-625-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "OSHMI",
        "name_prefix": "Dr.",
        "credential": "BDS, DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8231",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deiderich A Dutchover, PTA
• Patricia Anne Duterroil, LPC NCC
• Gregory Paul Dutson, D.C.
• Anukampa Dutt, DDS, MS
• Anil Kumar Dutta, M.D.
• Ritu Dutta, MD
• Suresh V Dutta, M.D.
• Frank Bradley Dutton, DDS
• Keaton Duty, DO
• April Duvall, SLP

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.