SUBASH MUTYALA D.D.S.
NPI 1639361538
Dentist - Pediatric Dentistry in Round Rock, TX

Active since August 14, 2007
1500 A W GRIMES BLVD, STE 130, ROUND ROCK, TX 78664(512) 238-7300(512) 238-7301 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Subash Mutyala D.d.s. NPPES

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

SUBASH MUTYALA D.D.S. (NPI 1639361538) is an individual pediatric dentistry provider in Round Rock, Texas, licensed in Texas (23436) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1639361538
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameSUBASH MUTYALACredential: D.D.S.
Location Address1500 A W GRIMES BLVD, STE 130Round Rock, TX 78664-7836
Mailing Address1500 A W Grimes Blvd, Ste 130Round Rock, TX 78664-7836 · (512) 238-7300 · Fax (512) 238-7301
Fax(512) 238-7301
Sole ProprietorNo
Enumeration DateAugust 14, 2007
Last NPPES UpdateFebruary 16, 2010
NPI 1639361538 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 · 23436
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.
1500 A W GRIMES BLVD, Round Rock, TX 78664

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
1500 A W GRIMES BLVD
ROUND ROCK, TX 78664

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 Subash Mutyala's NPI number?

The NPI number for Subash Mutyala is 1639361538. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Subash Mutyala located?

Subash Mutyala practices at 1500 A W Grimes Blvd Ste 130, Round Rock, TX 78664. The listed phone number is (512) 238-7300.

What is Subash Mutyala's specialty?

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

What insurance does Subash Mutyala 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 Subash Mutyala 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 Subash Mutyala was last updated on February 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.