Organization Active NPI

Bayarea Gentle Dental

  • General Practice Dentistry
  • La Porte, TX
National Provider Identifier
1700980208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20019 Issued in TX
Legal business name
BAYAREA GENTLE DENTAL
Practice address
1309 W Fairmont Pkwy Ste C
La Porte, TX 77571-6123
Phone
(281) 842-9934
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Suman Rangappa Rangappa, DMD
Title
Owner
Phone
(281) 842-9934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20019 TX Primary

Addresses

Primary practice location

1309 W Fairmont Pkwy Ste C
La Porte, TX 77571-6123

Mailing address

1309 W Fairmont Pkwy Ste C
La Porte, TX 77571-6123
Phone (281) 842-9934

National Provider Directory

National Provider Directory

Locations

1309 W Fairmont Pkwy
Ste C
La Porte, TX 77571
Phone (281) 470-2100

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700980208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 W FAIRMONT PKWY STE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716123",
            "telephone_number": "281-842-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W FAIRMONT PKWY STE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716123",
            "telephone_number": "281-842-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYAREA GENTLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANGAPPA",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_middle_name": "RANGAPPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-842-9934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.