Individual provider Active NPI

Hanuman S Gade, DDS

  • Dentist
  • Katy, TX
National Provider Identifier
1750669594
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028770 Issued in IL
Practice address
5160 Franz Rd Ste 1B
Katy, TX 77493-1763
Phone
(281) 371-3368
Fax
(281) 371-3372
NPI assigned
Jul 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019028770 IL Primary

Addresses

Primary practice location

5160 Franz Rd Ste 1B
Katy, TX 77493-1763

Mailing address

27819 Desert Manor LN
Katy, TX 77494-6092
Phone (713) 679-8986

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
I20150817001324 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719292051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019028770ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay City Family Dentistry PLLC Current Accepting new patients
Ur Smile Dental of Clute PLLC Current Accepting new patients
Katy Family Dentistry Current Accepting new patients

Organizations & group practices 3

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1750669594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27819 DESERT MANOR LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946092",
            "telephone_number": "713-679-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 FRANZ RD STE 1B",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931763",
            "telephone_number": "281-371-3368",
            "fax_number": "281-371-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADE",
        "first_name": "HANUMAN",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.