DR. VIDYAVATHI KONEGOWDA DDS
NPI 1245594589
Dentist - General Practice in Dallas, TX

Active since July 02, 2012PECOS Enrolled
3030 LBJ FWY, SUITE 1400, DALLAS, TX 75234(972) 444-8888 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vidyavathi Konegowda Dds NPPES

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

DR. VIDYAVATHI KONEGOWDA DDS (NPI 1245594589) is an individual general practice provider in Dallas, Texas, licensed in Texas (28602) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245594589
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VIDYAVATHI KONEGOWDACredential: DDS
Location Address3030 LBJ FWY, SUITE 1400Dallas, TX 75234-7781
Mailing Address1076 Arches Park DrAllen, TX 75013-5649 · (248) 613-5147
Sole ProprietorYes
Enumeration DateJuly 2, 2012
Last NPPES UpdateFebruary 26, 2015
NPI 1245594589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 28602 Licensed in MI · 2901020698
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3030 LBJ FWY, Dallas, TX 75234

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vidyavathi Konegowda Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
3030 LBJ FWY, SUITE 1400
DALLAS, TX 75234
Dentist
3030 LBJ FWY, SUITE 1400
DALLAS, TX 75234
Dentist (General Practice)
3030 LBJ FWY, SUITE 1400
DALLAS, TX 75234
Dentist
3030 LBJ FWY, 1400
DALLAS, TX 75234
Dentist
3030 LBJ FWY, STE 1400
DALLAS, TX 75234
Dentist (General Practice)
3030 LBJ FWY, SUITE 1400
DALLAS, TX 75234
Dentist
3030 LBJ FWY, SUITE 1400
DALLAS, TX 75234
Dentist
3030 LBJ FWY, SUITE 1400
DALLAS, TX 75234

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 Vidyavathi Konegowda's NPI number?

The NPI number for Vidyavathi Konegowda is 1245594589. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Vidyavathi Konegowda located?

Vidyavathi Konegowda practices at 3030 Lbj Fwy Suite 1400, Dallas, TX 75234. The listed phone number is (972) 444-8888.

What is Vidyavathi Konegowda's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Vidyavathi Konegowda enrolled in Medicare?

Yes. Vidyavathi Konegowda is registered in the Medicare PECOS enrollment system.

What insurance does Vidyavathi Konegowda accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 8 other insurers list Vidyavathi Konegowda 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 Vidyavathi Konegowda was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.