Individual provider Active NPI

Sreelakshmi Keesara, DDS

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1841784980
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38979 Issued in TX
Practice address
1701 S McColl Rd Ste 9
Edinburg, TX 78539-5025
Phone
(956) 222-1555
Fax
(915) 455-2879
NPI assigned
Jun 21, 2018
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 38979 TX Primary

Addresses

Primary practice location

1701 S McColl Rd Ste 9
Edinburg, TX 78539-5025

Mailing address

1701 S McColl Rd Ste 9
Edinburg, TX 78539-5025
Phone (956) 222-1555

Other identifiers 1

IdentifierTypeStateIssuer
12012954AMedicaidIN

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
38979TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Global Smiles Dental 4 LLC General Practice Past Accepting new patients
Parkview 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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1841784980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S MCCOLL RD STE 9",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395025",
            "telephone_number": "956-222-1555",
            "fax_number": "915-455-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S MCCOLL RD STE 9",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395025",
            "telephone_number": "956-222-1555",
            "fax_number": "915-455-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESARA",
        "first_name": "SREELAKSHMI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12012954A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.