Provider Demographics
NPI:1053710525
Name:NISHIT KAPADIA DDS, PLLC
Entity type:Organization
Organization Name:NISHIT KAPADIA DDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NISHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-889-2166
Mailing Address - Street 1:1251 W CAMPBELL RD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2971
Mailing Address - Country:US
Mailing Address - Phone:972-889-2166
Mailing Address - Fax:972-889-3819
Practice Address - Street 1:1251 W CAMPBELL RD
Practice Address - Street 2:SUITE #200
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2971
Practice Address - Country:US
Practice Address - Phone:972-889-2166
Practice Address - Fax:972-889-3819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24611261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2045841Medicaid