Sanjeev K Gopalakrishnan, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22113 Issued in TX

Practice address

1432 Austin Hwy Ste 107
San Antonio, TX 78209-4903

Phone

(210) 822-5747

Fax

(210) 822-2738

NPI assigned

Dec 26, 2006

Sex

Male

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

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

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1700941184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 AUSTIN HWY STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094903",
            "telephone_number": "210-822-5747",
            "fax_number": "210-822-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 AUSTIN HWY STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094903",
            "telephone_number": "210-822-5747",
            "fax_number": "210-822-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALAKRISHNAN",
        "first_name": "SANJEEV",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa E Goodwin, LPC
• Wendy E. Goodwin, M.D.
• Craig A. Goolsby, MD
• Pallvi Goomer
• Sonal D Gopal
• James Ernest Goral, M.D.
• Michael Steven Gorday, D.D.S., M.H.S.
• Michele Quinn Gorden, RDH, BS, MA
• Adam J Gordon, LMSW
• Amanda Gordon, MSN, APRN, FNP-C

• 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 May 13, 2011; 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.