Individual provider Active NPI

Ishita Agarwal, DMD; MS

  • Dentist
  • Baytown, TX
National Provider Identifier
1831641810
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35020 Issued in TX
Practice address
5010 Garth Rd Ste 204
Baytown, TX 77521-2254
Phone
(281) 394-0174
NPI assigned
Oct 26, 2016
Last updated
May 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13764 MN
Dentist 122300000X 35020 TX Primary

Addresses

Primary practice location

5010 Garth Rd Ste 204
Baytown, TX 77521-2254

Mailing address

2240 10TH CT W
West Fargo, ND 58078-8528
Phone (716) 866-8660

Other practice location 1

520 Main St
Apple Tree Dental
Hawley, MN 56549
Phone (218) 483-1038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Boston Univ Goldman School of Dental Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12122 Murphy Rd
Stafford, TX 77477-2414

5634 Kendall Hill LN
Sugar Land, TX 77479-4517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35020TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
White Smiles Dental PLLC Current Accepting new patients
Apple Tree Dental Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1831641810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 10TH CT W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788528",
            "telephone_number": "716-866-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 GARTH RD STE 204",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212254",
            "telephone_number": "281-394-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Main St",
            "address_2": "Apple Tree Dental",
            "address_purpose": "LOCATION",
            "city": "Hawley",
            "state": "MN",
            "postal_code": "56549",
            "country_code": "US",
            "telephone_number": "218-483-1038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "ISHITA",
        "name_prefix": "Dr.",
        "credential": "DMD; MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13764",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.