Organization
NIVA DENTAL SPECIALISTS PLLC
Active
Organization
NIVA DENTAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOUVIK PONNUSAMY DMD (OWNER)
(630) 267-1199
Entity
Organization
Contact information
Practice address
15141 RONALD REAGAN BLVD, SUITE 516, LEANDER, TX 78641-7864
(512) 881-8852
(512) 881-7721
Mailing address
1511 RIMSTONE DR, CEDAR PARK, TX 78613-7692
(630) 267-1199
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up