Individual provider Active NPI

Poorva Gharpure, BDS, MS,MDS

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1811521909
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28435 Issued in TX
Practice address
5851 Long Prairie Rd Ste 101
Flower Mound, TX 75028-5636
Phone
(972) 539-7252
NPI assigned
Feb 27, 2020
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 28435 TX Primary

Addresses

Primary practice location

5851 Long Prairie Rd Ste 101
Flower Mound, TX 75028-5636

Mailing address

4200 Broadway Ave Apt 7206
Flower Mound, TX 75028-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
28435TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1811521909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BROADWAY AVE APT 7206",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 LONG PRAIRIE RD STE 101",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285636",
            "telephone_number": "972-539-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARPURE",
        "first_name": "POORVA",
        "credential": "BDS, MS,MDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.