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DR. MAHENDRA D MAVALLI PHD
NPI 1558630251
Dentist - Pediatric Dentistry in Keller, TX

Active since December 26, 2011
151 RIDGE POINT PKWY STE 100, KELLER, TX 76248(817) 697-5166 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 1, 2024, Mar 4, 2022, Nov 18, 2020 (3 updates tracked since 2020).

About Dr. Mahendra D Mavalli Phd NPPES

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

DR. MAHENDRA D MAVALLI PHD (NPI 1558630251) is an individual pediatric dentistry provider in Keller, Texas, licensed in Texas (27392) and active in the NPI registry since December 2011. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558630251
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MAHENDRA D MAVALLICredential: PHD
Location Address151 RIDGE POINT PKWY STE 100Keller, TX 76248-8801
Mailing Address151 Ridge Point Pkwy Ste 100Keller, TX 76248-8801 · (817) 697-5166
Phone(817) 697-5166
Sole ProprietorNo
Enumeration DateDecember 26, 2011
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1558630251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 27392
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

151 RIDGE POINT PKWY STE 100, Keller, TX 76248
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1370 West Highway 121, 102Coppell, TX 75019 · Phone (972) 899-6800 · Fax (972) 899-5880
Location 2315 Laurence Dr Ste 100Heath, TX 75032-2077 · Phone (469) 830-3300 · Fax (469) 830-7676

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

MILK & HONEY MEDICAL SERVICES PLLC
Clinic/Center (Primary Care)
151 RIDGE POINT PKWY STE 100
KELLER, TX 76248
Tarrant County (817) 945-3949
D MAHENDRA MAVALLI PLLC
Dentist (Pediatric Dentistry)
151 RIDGE POINT PKWY STE 100
KELLER, TX 76248
Tarrant County (817) 697-5166
KUMAR HIREMATH DDS PA
Dentist (Orthodontics and Dentofacial Orthopedics)
151 RIDGE POINT PKWY STE 100
KELLER, TX 76248
Tarrant County (817) 697-5166

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 Mahendra Mavalli's NPI number?

The NPI number for Mahendra Mavalli is 1558630251. It was assigned to this individual provider in the NPPES registry on December 26, 2011.

Where is Mahendra Mavalli located?

Mahendra Mavalli practices at 151 Ridge Point Pkwy Ste 100, Keller, TX 76248. The listed phone number is (817) 697-5166.

What is Mahendra Mavalli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Mahendra Mavalli accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Mahendra Mavalli 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 Mahendra Mavalli was last updated on August 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.