Organization Active NPI

M Dholariya DDS PLLC

  • General Practice Dentistry
  • Kyle, TX
National Provider Identifier
1831641653
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28877 Issued in TX
Legal business name
M DHOLARIYA DDS PLLC
Practice address
4650 South FM 1626
Suite 104
Kyle, TX 78640
Phone
(512) 256-0105
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Mahesh Dholariya, DDS
Title
Owner
Phone
(512) 256-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28877 TX Primary

Addresses

Primary practice location

4650 South FM 1626
Suite 104
Kyle, TX 78640

Mailing address

4650 South FM 1626
Suite 104
Kyle, TX 78640
Phone (512) 256-0105

Other names 1

  • Kyle Parkway Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4650 S FM 1626
Ste 104
Kyle, TX 78640
Phone (512) 256-0105

Practitioners & affiliated clinicians

Practitioners 2

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": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1831641653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 SOUTH FM 1626",
            "address_2": "SUITE 104",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-256-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SOUTH FM 1626",
            "address_2": "SUITE 104",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-256-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M DHOLARIYA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "DHOLARIYA",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-256-0105",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kyle Parkway Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.