Rahul Malya

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27329 Issued in TX

Practice address

6028 Worth Pkwy Ste 101
San Antonio, TX 78257-5071

Phone

(210) 691-3400

NPI assigned

Aug 23, 2011

Last updated

Jul 6, 2018By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wisdom Teeth RX PLLC

  dba 210 Wisdom Teeth

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1538837851
  NPD Authorized official
• Network Provider Associates, P.C.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1427322825
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1720368632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860036",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 WORTH PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782575071",
            "telephone_number": "210-691-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALYA",
        "first_name": "RAHUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boravy Touch Maloy, AGPCNP-BC, N.P.
• Brenda Kay Maloy, M.S., LPC
• Michael Maloy Jr., M.D.
• Taylor Maltbie
• Sheila M Maltos, OTR
• Kelli Mask Mamadaliyev, CPNP
• Jocelyn Mamaril
• Murali Mamidi, MD
• Aditya Mamlatdarna
• Faith Comfort Mamombe, LCSW

• 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 Jul 6, 2018; 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.