Individual provider Active NPI

Nagaraju Rashmi Indrakanti, DMD

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1720338056
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28421 Issued in TX
Practice address
1715 S Mays St Ste E
Round Rock, TX 78664-6740
Phone
(512) 248-8888
Fax
(512) 733-0000
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28421 TX
General Practice Dentistry 1223G0001X 28421 TX Primary

Addresses

Primary practice location

1715 S Mays St Ste E
Round Rock, TX 78664-6740

Mailing address

1715 S Mays St
Suite E
Round Rock, TX 78664-6740
Phone (512) 248-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28421TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Dental PLLC General Practice Current Accepting new patients
Cedar Park Comfort Dentistry PLLC Dentist CurrentSince Jul 17, 2021 Accepting new patients
Best Dental, PC General Practice PastSince Jul 17, 2021 Accepting new patients
Round Rock Comfort Dentistry Dentist PastSince Jul 17, 2021 Accepting new patients

Locations

711 N Bell Blvd
Ste E
Cedar Park, TX 78613
Phone (512) 335-0265

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1720338056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S MAYS ST",
            "address_2": "SUITE E",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646740",
            "telephone_number": "512-248-8888",
            "fax_number": "512-733-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S MAYS ST STE E",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646740",
            "telephone_number": "512-248-8888",
            "fax_number": "512-733-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDRAKANTI",
        "first_name": "NAGARAJU RASHMI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28421",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.