PRODIGIOUS DENTAL PC
NPI 1124593066
Dentist - General Practice in Burleson, TX
About Prodigious Dental Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRODIGIOUS DENTAL PC (NPI 1124593066) is a healthcare organization registered as a general practice in Burleson, Texas and active in the NPI registry since October 2018. The organization lists Arshdeep Sohi, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prodigious Dental Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prodigious Dental PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prodigious Dental PC's NPI number?
The NPI number for Prodigious Dental PC is 1124593066. It was assigned to this organization in the NPPES registry on October 8, 2018.
Where is Prodigious Dental PC located?
Prodigious Dental PC is located at 664 SW Wilshire Blvd, Burleson, TX 76028. The listed phone number is (801) 440-2246.
What is Prodigious Dental PC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Prodigious Dental PC enrolled in Medicare?
Yes. Prodigious Dental PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prodigious Dental PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Prodigious Dental PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Prodigious Dental PC accept?
Health plans from DentaQuest USA Insurance Company, Inc. and UnitedHealthcare list Prodigious Dental PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Prodigious Dental PC was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Prodigious Dental Pc · NPI 1124593066
General Practice organization in Burleson, Texas. Organization record, active in the CMS NPPES registry since October 8, 2018.
## Identity
- **NPI:** 1124593066 (Entity type: Organization)
- **Enumerated:** October 8, 2018
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Arshdeep Sohi, PRESIDENT
## Practice location
- **Address:** 664 SW WILSHIRE BLVD, Burleson, TX 76028-5851
- **Phone:** (801) 440-2246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124593066) · Data from the CMS NPPES public registry.