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NIVA DENTAL SPECIALISTS PLLC
NPI 1194436634
Dentist - Oral and Maxillofacial Surgery in Leander, TX

Active since December 06, 2022
15141 RONALD REAGAN BLVD, SUITE 516, LEANDER, TX 78641(512) 881-8852(512) 881-7721 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Niva Dental Specialists Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIVA DENTAL SPECIALISTS PLLC (NPI 1194436634) is a healthcare organization registered as an oral and maxillofacial surgery in Leander, Texas and active in the NPI registry since December 2022. The organization lists Shouvik Ponnusamy, Owner, as its authorized official.

NPPES Registry Identity

NPI1194436634
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNIVA DENTAL SPECIALISTS PLLC
Location Address15141 RONALD REAGAN BLVD, SUITE 516Leander, TX 78641-7864
Mailing Address1511 Rimstone DrCedar Park, TX 78613-7692 · (630) 267-1199
Phone(512) 881-8852
Fax(512) 881-7721
Organization SubpartNo
Authorized OfficialShouvik PonnusamyOwner · (630) 267-1199
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1194436634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in 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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
15141 RONALD REAGAN BLVD, Leander, TX 78641
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Niva Dental Specialists PLLC's NPI number?

The NPI number for Niva Dental Specialists PLLC is 1194436634. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Niva Dental Specialists PLLC located?

Niva Dental Specialists PLLC is located at 15141 Ronald Reagan Blvd Suite 516, Leander, TX 78641. The listed phone number is (512) 881-8852.

What is Niva Dental Specialists PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Niva Dental Specialists PLLC was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.