Organization Active NPI

Radhikadentalkaty PLLC

  • Dentist
  • Katy, TX
National Provider Identifier
1770292500
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RADHIKADENTALKATY PLLC
Practice address
2015 N Mason Rd Ste 500
Katy, TX 77449-6882
Phone
(201) 214-5137
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Radhika Shah, D.D.SNPI 1023424579
Title
Dentist/ Owner
Phone
(201) 214-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2015 N Mason Rd Ste 500
Katy, TX 77449-6882

Mailing address

5310 Fairdale LN
Houston, TX 77056-6605

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.charmdentalcare.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1770292500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 FAIRDALE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 N MASON RD STE 500",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496882",
            "telephone_number": "201-214-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHIKADENTALKATY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "201-214-5137",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.charmdentalcare.com",
            "affiliation": "N",
            "address_1": "2015 N Mason Rd Ste 500",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774496882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.