Individual provider Active NPI

Anny Charolia, DDS

  • Dentist
  • Richmond, TX
National Provider Identifier
1750101622
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41034 Issued in TX
Practice address
4120 Richmond Parkway
Suite 203
Richmond, TX 77469
Phone
(832) 449-5426
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 41034 TX Primary

Addresses

Primary practice location

4120 Richmond Parkway
Suite 203
Richmond, TX 77469

Mailing address

3502 Harvest Bounty Dr Apt 5211
Richmond, TX 77406-3387
Phone (832) 226-6190

Other practice location 1

5815 Gulf Fwy Ste 200
Houston, TX 77023-5364
Phone (281) 727-0051

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
41034TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Exquisite Dental Smiles III PLLC Multi-Specialty CurrentSince Oct 20, 2024 Accepting new patients
Exquisite Dental Smiles II PLLC PastSince Oct 9, 2022 Accepting new patients

Locations

4120 Richmond Pkwy
Ste 203
Richmond, TX 77469
Phone (832) 449-5426

Organizations & group practices 2

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": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1750101622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 HARVEST BOUNTY DR APT 5211",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774063387",
            "telephone_number": "832-226-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 RICHMOND PARKWAY",
            "address_2": "SUITE 203",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "832-449-5426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5815 Gulf Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770235364",
            "country_code": "US",
            "telephone_number": "281-727-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAROLIA",
        "first_name": "ANNY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "41034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.