DR. GOPIKIRAN THOTA (NPI# 1609000314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609000314 |
| Entity Type | Individual |
| Full Name | DR. GOPIKIRAN THOTA |
| Credential | DDS, MD |
| Practice Address |
117 Louis Henna Blvd B230 Round Rock TX 78664-7343 |
| Mailing Address |
1302 Waugh Dr # 986 Houston TX 77019-3908 |
| Practice Telephone | 5122387449 |
| Mailing Telephone | 8322028792 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2013-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 30.022272 | OH | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
24679 | TX | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0024679 | TX | Dental Providers |
| N | 208600000X | Surgery | N4160 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
117 LOUIS HENNA BLVD B230 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-7343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003981721 | William M. Wyatt | Dentist | 117 Louis Henna Blvd, Suite B-230, Round Rock, TX 78664-7343 | 2006-11-21 |
| 1861550618 | Phuong Pham | Dentist | 117 Louis Henna Blvd, Building B-230, Round Rock, TX 78664-7343 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871850057 | Oluwasegun Oluwafisayo Olabode | Dentist | 16000 Park Valley Dr Ste 160, Round Rock, TX 78681-4009 | 2012-04-12 |
| 1679796270 | Robert J Naples | Dentist | 1950 Round Rock Ave, Round Rock, TX 78681-4014 | 2007-04-11 |
| 1003981721 | William M. Wyatt | Dentist | 117 Louis Henna Blvd, Suite B-230, Round Rock, TX 78664-7343 | 2006-11-21 |
| 1114477353 | Carus Dental | Dentist | 16000 Park Valley Dr, Suite 160, Round Rock, TX 78681-4008 | 2016-10-12 |
| 1215361654 | Robert J. Naples, Dds Pa | Dentist | 1950 Round Rock Ave, Round Rock, TX 78681-4014 | 2013-08-21 |
| 1932431483 | Burchard Enterprises, Pa | Dentist | 7200 Wyoming Spgs, Suite 900, Round Rock, TX 78681-4303 | 2010-02-09 |
| 1326181330 | Mark Burchard | Dentist | 7200 Wyoming Spgs, Suite 900, Round Rock, TX 78681-4303 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on DR. GOPIKIRAN THOTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.