Neeraj Ravindra Nagella, M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

31728 Issued in TX

Practice address

17910 Bulverde Rd Ste 112
San Antonio, TX 78259-3762

Phone

(210) 494-4200

Fax

(210) 491-5959

NPI assigned

Apr 13, 2009

Last updated

Dec 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ideal Dental of Bulverde PLLC

  • Dentist
  • San Antonio, TX
  • NPI 1366814279
  NPD (past)
• Coastal Jaw Surgery of New Port Richey PA

  • Oral and Maxillofacial Surgery (Dentist)
  • New Port Richey, FL
  • NPI 1487839205
  NPD (past)
• Mitchell Oral Surgery and Implant Centers PA

  dba Mosaic

  • Oral and Maxillofacial Surgery (Dentist)
  • Clearwater, FL
  • NPI 1003287129
  NPD (past)

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1750524351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7167 BELLA GDN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562123",
            "telephone_number": "210-557-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17910 BULVERDE RD STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593762",
            "telephone_number": "210-494-4200",
            "fax_number": "210-491-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3736 NW 27th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326052074",
            "country_code": "US",
            "telephone_number": "352-215-7217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGELLA",
        "first_name": "NEERAJ",
        "middle_name": "RAVINDRA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17181",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "31728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Karleen Naff, BSN, RN
• Veena Arpit Nagar, MD
• Ann Marie Nagel, IONM
• Jennifer Kay Nagel, BSN
• Thomas Robert Nagel, MD
• Norma Linda Naghaviani, MD
• Kundandeep S Nagi, M.D.
• Marian Nagle, BDS
• Andrew C Naglich, PHARM.D.
• Andrew Jared Nagy

• Oral and Maxillofacial Surgery (Dentist) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.