Individual provider Active NPI

Reshma M Gowda, DDS

  • Dentist
  • Troy, MI
National Provider Identifier
1881772127
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5315008675 Issued in MI
Practice address
2950 E Wattles Rd
Ste 200
Troy, MI 48085-7008
Phone
(248) 526-9680
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5315008675 MI Primary

Addresses

Primary practice location

2950 E Wattles Rd
Ste 200
Troy, MI 48085-7008

Mailing address

2950 E Wattles Rd
Ste 200
Troy, MI 48085-7008
Phone (248) 526-9680

Other practice location 1

28478 Dequindre Rd
Warren, MI 48092-5605
Phone (586) 574-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000548 MI Order and Referring Only - DentistPractitioner - Dentist 9931405230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5315008675MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Dental Group P.L.L.C. Dentist Past Accepting new patients
Dr. Reshma Gowda P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1881772127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E WATTLES RD",
            "address_2": "STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857008",
            "telephone_number": "248-526-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E WATTLES RD",
            "address_2": "STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857008",
            "telephone_number": "248-526-9680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28478 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480925605",
            "country_code": "US",
            "telephone_number": "586-574-2620",
            "fax_number": "586-574-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "RESHMA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "5315008675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.