Individual provider Active NPI

Varghese P John, D M D

  • Dentist
  • Sugar Land, TX
National Provider Identifier
1962648303
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17999 Issued in TX
Practice address
9920 Highway 90a
Ste 160-D
Sugar Land, TX 77478-3196
Phone
(281) 494-5600
Fax
(281) 494-5588
NPI assigned
Jan 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17999 TX Primary

Addresses

Primary practice location

9920 Highway 90a
Ste 160-D
Sugar Land, TX 77478-3196

Mailing address

9920 Highway 90a Ste C100
Sugar Land, TX 77478-3159
Phone (281) 494-5600

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atwell Medical Center Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1962648303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 HIGHWAY 90A STE C100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783159",
            "telephone_number": "281-494-5600",
            "fax_number": "281-494-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 HIGHWAY 90A",
            "address_2": "STE 160-D",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783196",
            "telephone_number": "281-494-5600",
            "fax_number": "281-494-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "VARGHESE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.