Active NPI
Mywisdom Dental PLLC
- Dentist
- Cedar Park, TX
National Provider Identifier
1982478152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MYWISDOM DENTAL PLLC
- Practice address
- 500 W Whitestone Blvd Ste 102
Cedar Park, TX 78613-2271 - Phone
- (512) 528-5454
- Fax
- (512) 528-5455
- NPI assigned
- Nov 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Umamageshwari None Purushothaman, DMD
- Title
- Owner
- Phone
- (978) 328-4920
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
500 W Whitestone Blvd Ste 102
Cedar Park, TX 78613-2271
Mailing address
500 W Whitestone Blvd Ste 102
Cedar Park, TX 78613-2271
Phone (512) 528-5454
Other names 1
- Mywisdom Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Cedar Park, TX
- NPI 1518367945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699401600000",
"number": "1982478152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W WHITESTONE BLVD STE 102",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132271",
"telephone_number": "512-528-5454",
"fax_number": "512-528-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W WHITESTONE BLVD STE 102",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132271",
"telephone_number": "512-528-5454",
"fax_number": "512-528-5455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYWISDOM DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A",
"authorized_official_last_name": "PURUSHOTHAMAN",
"authorized_official_first_name": "UMAMAGESHWARI",
"authorized_official_middle_name": "NONE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-328-4920",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mywisdom Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.