Individual provider Active NPI

Gautam Tyagi Rangappa

  • General Practice Dentistry
  • Amarillo, TX
National Provider Identifier
1992623136
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42525 Issued in TX
Practice address
10310 FM 2590
Amarillo, TX 79119-3897
Phone
(806) 224-1974
NPI assigned
Jul 7, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42525 TX Primary

Addresses

Primary practice location

10310 FM 2590
Amarillo, TX 79119-3897

Mailing address

10310 FM 2590
Amarillo, TX 79119-3897
Phone (806) 224-1974

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

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1992623136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 FM 2590",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791193897",
            "telephone_number": "806-224-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 FM 2590",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791193897",
            "telephone_number": "806-224-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGAPPA",
        "first_name": "GAUTAM",
        "middle_name": "TYAGI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.