NPIMap

Organization Active NPI

Divih, PLLC

  • General Practice Dentistry
  • Duncanville, TX
National Provider Identifier
1821758137
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIVIH, PLLC
Practice address
226 N Cedar Ridge Dr
Duncanville, TX 75116-3141
Phone
(972) 298-8515
NPI assigned
Dec 28, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Mr. Sreeram Bonde
Title
Administrator
Phone
(254) 231-8524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

226 N Cedar Ridge Dr
Duncanville, TX 75116-3141

Mailing address

226 N Cedar Ridge Dr
Duncanville, TX 75116-3141

National Provider Directory

National Provider Directory

Locations

226 N Cedar Ridge Dr
Duncanville, TX 75116
Phone (972) 298-8515

Practitioners & affiliated clinicians

Practitioners 5

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": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1821758137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N CEDAR RIDGE DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N CEDAR RIDGE DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163141",
            "telephone_number": "972-298-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVIH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "BONDE",
        "authorized_official_first_name": "SREERAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-231-8524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.