Active NPI
Angela M Niknam, DDS
- Dentist
- Round Rock, TX
National Provider Identifier
1952417560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22260
- Practice address
- 200 University Blvd
#340
Round Rock, TX 78665-1001 - Phone
- (512) 904-0672
- Fax
- (512) 904-0699
- NPI assigned
- Aug 23, 2006
- Last updated
- Jun 29, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22260 | TX | Primary |
Addresses
Primary practice location
200 University Blvd
#340
Round Rock, TX 78665-1001
Mailing address
200 University Blvd
#340
Round Rock, TX 78665-1001
Phone (512) 904-0672
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 |
|---|---|---|---|
| 22260 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naik Dental P.a. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1952417560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNIVERSITY BLVD",
"address_2": "#340",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651001",
"telephone_number": "512-904-0672",
"fax_number": "512-904-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNIVERSITY BLVD",
"address_2": "#340",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651001",
"telephone_number": "512-904-0672",
"fax_number": "512-904-0699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKNAM",
"first_name": "ANGELA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.