Individual provider Active NPI

Geethanjali Vipulanandan, DDS, PHD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1720565492
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34358 Issued in TX
Practice address
7500 Cambridge St
Houston, TX 77054-2032
Phone
(713) 486-4000
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34358 TX Primary

Addresses

Primary practice location

7500 Cambridge St
Houston, TX 77054-2032

Mailing address

146 Rushwing PL
The Woodlands, TX 77381-4319
Phone (281) 794-8973

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220715000927 TX Practitioner - Dentist 0941681407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Mar 25, 2022 Accepting new patients
Harris County Hospital District General Practice CurrentSince Mar 25, 2022 Accepting new patients
The University of Texas Health Science Center at Houston General Practice PastSince Nov 24, 2019 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1720565492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 RUSHWING PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814319",
            "telephone_number": "281-794-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CAMBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542032",
            "telephone_number": "713-486-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIPULANANDAN",
        "first_name": "GEETHANJALI",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.