Raj Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RAJ DENTAL INC

Doing business as

North West Austin Family Dentistry

Practice address

9222 W Parmer LN
Austin, TX 78717-4676

Phone

(512) 363-5222

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Rajashree Prasad, DMDNPI 1245769454

Title

President

Phone

(408) 507-1287

Specialties & licenses 1

Addresses

Other names 1

• NORTH WEST AUSTIN FAMILY DENTISTRY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajashree Prasad, DMD

  • Dentist
  • Austin, TX
  • NPI 1245769454
  Medicare reassignment NPD Authorized official
• Lauren Olivia Soomar, DDS

  • General Practice Dentistry
  • Round Rock, TX
  • NPI 1407338874
  NPD (past)

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1730773516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174676",
            "telephone_number": "512-363-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174676",
            "telephone_number": "512-363-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "RAJASHREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-507-1287",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH WEST AUSTIN FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Barry Rains, LCSW
• Elizabeth Anne Sykes Rains, MAC, LPC
• Faith Rains, LPC
• Leigh Griffin Rainwater, M.ED., LPC
• Jordana A Raiskin, L.C.S.W.
• Veena Raj
• Carolsun Samuel Rajan, DO
• Subramaniyam Rajan, M.D.
• Rupa T Rajanna, DMD
• Nitin Uddaraju Raju, D.D.S.

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.