Individual provider Active NPI

Ajapal S Bhangu, D.M.D.

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1760879720
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38179 Issued in TX
Practice address
7700 Cat Hollow Dr
Round Rock, TX 78681-5796
Phone
(512) 255-4229
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 38179 TX Primary

Addresses

Primary practice location

7700 Cat Hollow Dr
Round Rock, TX 78681-5796

Mailing address

7700 Cat Hollow Dr Ste 208
Round Rock, TX 78681-5799
Phone (512) 255-4229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170105000579 VA Order and Referring Only - DentistPractitioner - Dentist 3375824329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38179TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Absr Dental Associates, PLLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

7700 Cat Hollow Dr
Round Rock, TX 78681
Phone (512) 255-4229

7700 Cat Hollow Dr
Ste 208
Round Rock, TX 78681
Phone (512) 255-4229

Organizations & group practices 1

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1760879720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR STE 208",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815799",
            "telephone_number": "512-255-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815796",
            "telephone_number": "512-255-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANGU",
        "first_name": "AJAPAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.