Varghese George, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24190 Issued in TX

Practice address

2040 N Belt Line Rd Ste 300
Mesquite, TX 75150-5804

Phone

(972) 285-8020

Fax

(972) 285-7011

NPI assigned

Jul 29, 2008

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 28, 2021 through Sep 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• JDC Healthcare, PLLC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1003017096
  NPD (past)

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1891951935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N BELT LINE RD STE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505804",
            "telephone_number": "972-285-8020",
            "fax_number": "972-285-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N BELT LINE RD STE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505804",
            "telephone_number": "972-285-8020",
            "fax_number": "972-285-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "VARGHESE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam George
• Seema Mottackal George, FNP
• Shelly George
• Shiju George, RPH
• Susan George
• Gerald Anakwenze (White Rock EMS)
• Getting Mental Therapy Services PLLC
• Neha Ghael, DO
• Mike W Gibson
• Shunteria Elizabeth Gibson

• General Practice Dentistry in Mesquite, TX
• Providers in Mesquite, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.