Avani Dentistry II PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25103 Issued in TX

Legal business name

AVANI DENTISTRY II PC

Practice address

319 Highway 36 Byp S
Unit # 3
Gatesville, TX 76528-2741

Phone

(509) 939-9600

NPI assigned

Jan 4, 2013

Last updated

Jan 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amandeep Basrai

Title

President

Phone

(509) 939-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1902143340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 DELAWARE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HIGHWAY 36 BYP S",
            "address_2": "UNIT # 3",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282741",
            "telephone_number": "509-939-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANI DENTISTRY II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "BASRAI",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-939-9600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Allison, MS, CCC-SLP
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• Rebecca Jean Bari, DPM
• Amy Elizabeth Bass, APRN, FNP-C
• Nicole Amber Batcheller, FNP-C

• General Practice Dentistry in Gatesville, TX
• Providers in Gatesville, 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 Jan 4, 2013; 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.