NPIMap

Organization Active NPI

Seguin Dentalcare PLLC

  • Dentist
  • Seguin, TX
National Provider Identifier
1760938450
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29185 Issued in TX
Legal business name
SEGUIN DENTALCARE PLLC
Practice address
1417 E Walnut St
Suite 100
Seguin, TX 78155-5182
Phone
(201) 600-1782
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Prashantkumar Gajera
Title
Owner
Phone
(200) 600-1782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 29185 TX Primary

Addresses

Primary practice location

1417 E Walnut St
Suite 100
Seguin, TX 78155-5182

Mailing address

1417 E Walnut St
Suite 100
Seguin, TX 78155-5182

National Provider Directory

National Provider Directory

Locations

1417 E Walnut St
Ste 100
Seguin, TX 78155
Phone (201) 600-1782

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1760938450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 E WALNUT ST",
            "address_2": "SUITE 100",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 E WALNUT ST",
            "address_2": "SUITE 100",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555182",
            "telephone_number": "201-600-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUIN DENTALCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "GAJERA",
        "authorized_official_first_name": "PRASHANTKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "200-600-1782"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.