Pooja Vajapeyam Mantravadi, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

38850 Issued in TX

Practice address

6351 Preston Rd Ste 200
Frisco, TX 75034-6058

Phone

(972) 712-5035

NPI assigned

Aug 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 Jun 20, 2023 through Jun 20, 2027

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 and National Provider Directory roles.

• Sharon H Ornstein, DDS, PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Frisco, TX
  • NPI 1093925224

  Oral and Maxillofacial Surgery

  NPD
• NTDS Grapevine

  • Periodontics
  • McKinney, TX
  • NPI 1922790591
  NPD (past)
• Sharon H Ornstein, DDS, PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Fisco, TX
  • NPI 1912221029
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1659824183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 PRESTON RD STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346058",
            "telephone_number": "972-712-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 PRESTON RD STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346058",
            "telephone_number": "972-712-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTRAVADI",
        "first_name": "POOJA",
        "middle_name": "VAJAPEYAM",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "38850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isha Mannering, MD
• Susan Manning
• Travis Dewayne Manning, R.PH.
• Urooj Mansoor, MD
• Fariba Mansouri Hamlabadi
• Kaylyn Manuel
• Maplegrove Anesthesia LLC
• Julian Maramba Pickie
• Marcella Fooks, PHD PLLC
• Robin March, RN, CCM

• Oral and Maxillofacial Surgery (Dentist) in Frisco, TX
• Providers in Frisco, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.