Rudra Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RUDRA DENTAL PLLC

Practice address

1434 N Central Expy
Suite 121
McKinney, TX 75070-3106

Phone

(972) 542-4402

NPI assigned

Apr 11, 2017

Organization subpart

No

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

Authorized official

Name

Hemavathi Patil

Title

Owner

Phone

(972) 542-4402

Specialties & licenses 1

Addresses

Other names 1

• Eternity Dental Doing business as

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1982137410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 N CENTRAL EXPY",
            "address_2": "SUITE 121",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703106",
            "telephone_number": "972-542-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 N CENTRAL EXPY",
            "address_2": "SUITE 121",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703106",
            "telephone_number": "972-542-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDRA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "HEMAVATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-542-4402"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eternity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Royce Recovery Behavioral Health of Texas LLC
• Chasity Nichole Roye, APRN, CNM
• Ayla Ruben, M.ED. CKLC, IOCC
• Cutler Ruby
• Rubycare Health Services
• Kristin Rue, LCSW
• Silvia Diana Ruelas
• Alexis Russell, APRN
• David A Russell, D.C.
• Grace Russell, LPC ASSOCIATE

• General Practice Dentistry in McKinney, TX
• Providers in McKinney, 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 Apr 11, 2017; 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.