Srishti Mehta DDS Ms PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

23049 Issued in TX

Legal business name

SRISHTI MEHTA DDS MS PLLC

Doing business as

Indigo Orthodontics

Practice address

7975 W Grand Pkwy S
#130
Richmond, TX 77407-8604

Phone

(281) 201-2087

NPI assigned

Feb 5, 2017

Last updated

Feb 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Srishti Mehta, DDSNPI 1821127762

Title

Owner/Orthdontist

Phone

(405) 208-9618

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Indigo Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Srishti Mehta, DDS

  • Dentist
  • Richmond, TX
  • NPI 1821127762
  NPD (past) Authorized official

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486252800000",
    "number": "1710425269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 ABINGTON CREEK LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794383",
            "telephone_number": "405-208-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 W GRAND PKWY S",
            "address_2": "#130",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078604",
            "telephone_number": "281-201-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRISHTI MEHTA DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-05",
        "last_updated": "2017-02-05",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SRISHTI",
        "authorized_official_title_or_position": "OWNER/ORTHDONTIST",
        "authorized_official_telephone_number": "405-208-9618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821127762",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indigo Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Richmond, TX
• Providers in Richmond, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; 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.