Active NPI
Saipranay Guntaka
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1902476575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37570
- Practice address
- 1612 East William Cannon Drive
Austin, TX 78744 - Phone
- (512) 640-7999
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37570 | TX | Primary |
Addresses
Primary practice location
1612 East William Cannon Drive
Austin, TX 78744
Mailing address
1612 East William Cannon Drive
Austin, TX 78744
Phone (512) 640-7999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37570 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1902476575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 EAST WILLIAM CANNON DRIVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78744",
"telephone_number": "512-640-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 EAST WILLIAM CANNON DRIVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78744",
"telephone_number": "512-640-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTAKA",
"first_name": "SAIPRANAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.