Organization Active NPI

Mywisdom Dental PLLC

  • Dentist
  • Cedar Park, TX
National Provider Identifier
1982478152
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Dr. Umamageshwari None Purushothaman, DMDNPI 1518367945
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.