Organization Active NPI

Navasota Dental, PC

Doing business as Navasota Dental

  • General Practice Dentistry
  • Navasota, TX
National Provider Identifier
1790186930
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29315 Issued in TX
Legal business name
NAVASOTA DENTAL, PC
Doing business as
Navasota Dental
Practice address
415 North Lasalle Street
Suite 1a
Navasota, TX 77868
Phone
(479) 799-5317
NPI assigned
Sep 8, 2014
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Dr. Sushmita Rath, DDSNPI 1558703520
Title
Owner / Dentist
Phone
(479) 799-5317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29315 TX Primary

Addresses

Primary practice location

415 North Lasalle Street
Suite 1a
Navasota, TX 77868

Mailing address

415 North Lasalle Street
Suite 1a
Navasota, TX 77868

Other names 1

  • Navasota Dental Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1790186930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NORTH LASALLE STREET",
            "address_2": "SUITE 1A",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "77868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NORTH LASALLE STREET",
            "address_2": "SUITE 1A",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "77868",
            "telephone_number": "479-799-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVASOTA DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "RATH",
        "authorized_official_first_name": "SUSHMITA",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "479-799-5317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navasota Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Navasota, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.