Gayatri Pradhan DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GAYATRI PRADHAN DDS PLLC

Practice address

13909 Nacogdoches Rd Ste 113a
San Antonio, TX 78217-1296

Phone

(210) 590-4100

Fax

(210) 590-4107

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gayatri Pradhan, DDS

Title

Owner

Phone

(210) 590-4100

Specialties & licenses 1

Addresses

Tax ID family

Alpha Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gayatri Pradhan DDS PLLC

  • General Practice Dentistry
  • Universal City, TX
  • NPI 1538908330
  NPD tax ID

Locations

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1700535994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 NACOGDOCHES RD STE 113A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171296",
            "telephone_number": "210-590-4100",
            "fax_number": "210-590-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 NACOGDOCHES RD STE 113A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171296",
            "telephone_number": "210-590-4100",
            "fax_number": "210-590-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYATRI PRADHAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "GAYATRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-590-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles T Gay, M.D.
• Courtney Gay
• Kevin Andrew Gay, LVN
• Nathan Gay, AGACNP
• Susan Wharton Gay, LMFT
• Alexa Micole Gayden
• Nicholas Gaydos, IOM
• Kellie Gayle Gibson, PT
• Lynda S Gayle, MS CCC/SLP
• Bethany Ann Gaylor

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Apr 26, 2024; 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.