Suguna Gottam, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23460 Issued in TX

Practice address

8849 N Tarrant Pkwy
Suite 105
North Richland Hills, TX 76182-7695

Phone

(858) 231-0299

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• JSN Dental PLLC

  • General Practice Dentistry
  • North Richland Hills, TX
  • NPI 1285994483
  NPD (past) Authorized official

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1932308673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 FAULKNER PT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635429",
            "telephone_number": "858-231-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 N TARRANT PKWY",
            "address_2": "SUITE 105",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761827695",
            "telephone_number": "858-231-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTAM",
        "first_name": "SUGUNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037279",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ottis Samuel Goodwin, LPC
• Stacie Kamille Goran, LPC, LCDC
• Sherry Alexis Gordon, MD
• Amanda Kathleen Goss, LCSW
• Michelle J Gotcher, L.V.N.
• Ronald Gottschalk, MD
• Grapevine Anesthesia, PLLC
• Heather Lynn Graue, LMT
• Kathryn Jean Gregory, LVN, CST, CFA, LSA
• Jaya Sasha Groppetti, LMT

• General Practice Dentistry in North Richland Hills, TX
• Providers in North Richland Hills, 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 May 22, 2012; 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.