Individual provider Active NPI

Mudita Sethi, D.M.D

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1821285495
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25887 Issued in TX
Practice address
3610 W University Dr Ste 400
McKinney, TX 75071
Phone
(972) 548-9956
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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 25887 TX Primary

Addresses

Primary practice location

3610 W University Dr Ste 400
McKinney, TX 75071

Mailing address

11489 Cerrillos Dr
Frisco, TX 75035-5082
Phone (848) 248-0742

Other practice location 1

1359 S Holland Sylvania Rd
Holland, OH 43528-8423
Phone (419) 865-4441

Other practice location 2

3610 W University Dr Ste 400
McKinney, TX 75071-2952
Phone (972) 548-9956

Other practice location 3

1359 S Holland Sylvania Rd
Holland, OH 43528-8423
Phone (419) 865-4441

Other practice location 4

1359 S Holland Sylvania Rd
Holland, OH 43528-8423
Phone (419) 865-4441

Other practice location 5

3610 W University Dr Ste 400
McKinney, TX 75071-2952
Phone (972) 548-9956

Other practice location 6

1359 S Holland Sylvania Rd
Holland, OH 43528-8423
Phone (419) 865-4441

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

State licenses

LicenseStateTypeSpecialty
25887TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chickasaw Nation Division of Health Past Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center Past Accepting new patients
McKinney Dental Group and Orthodontics, PC General Practice PastSince Oct 13, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: msethi36840@direct.chickasawnationhealth.net

Organizations & group practices 3

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1821285495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11489 CERRILLOS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355082",
            "telephone_number": "848-248-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W UNIVERSITY DR STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "972-548-9956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1359 S Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "OH",
            "postal_code": "435288423",
            "country_code": "US",
            "telephone_number": "419-865-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 W University Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750712952",
            "country_code": "US",
            "telephone_number": "972-548-9956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1359 S Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "OH",
            "postal_code": "435288423",
            "country_code": "US",
            "telephone_number": "419-865-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1359 S Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "OH",
            "postal_code": "435288423",
            "country_code": "US",
            "telephone_number": "419-865-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 W University Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750712952",
            "country_code": "US",
            "telephone_number": "972-548-9956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1359 S Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "OH",
            "postal_code": "435288423",
            "country_code": "US",
            "telephone_number": "419-865-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETHI",
        "first_name": "MUDITA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.