Active NPI
Kavitha Viswanathan, DDS
- Pediatric Dentistry
- Dallas, TX
National Provider Identifier
1982862033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- F-23726
- Practice address
- 3302 Gaston Ave
Suite 203
Dallas, TX 75246-2013 - Phone
- (214) 828-8133
- Fax
- (214) 874-4508
- NPI assigned
- May 27, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | F-23726 | TX | Primary |
Addresses
Primary practice location
3302 Gaston Ave
Suite 203
Dallas, TX 75246-2013
Mailing address
PO Box 660677
Suite 203
Dallas, TX 75266-0677
Phone (214) 828-8133
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 |
|---|---|---|---|
| F-23726 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1982862033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660677",
"address_2": "SUITE 203",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660677",
"telephone_number": "214-828-8133",
"fax_number": "214-874-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 GASTON AVE",
"address_2": "SUITE 203",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462013",
"telephone_number": "214-828-8133",
"fax_number": "214-874-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISWANATHAN",
"first_name": "KAVITHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "F-23726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Vista Ophthalmology Associates, PA
- Vista Physical Therapy -Tradition LLP (Vista Physical Therapy)
- Vista Physical Therapy-Tradition LLP (Vista Physical Therapy)
- Vista Rehab Partners, LP (Vista Physical Therapy)
- Vistacare, Inc.
- Meera Viswanathan, P.A.
- Pranav Keshav Viswanathan
- Vita Chiropractic, PLLC (VITA Chiropractic & Wellness Center)
- Vita Therapy PLLC
- Vitacare DME LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.