TOOTH BARN LLC
NPI 1639988256
Dentist - General Practice in Round Rock, TX

Q: What is Tooth Barn LLC's NPI number?

The NPI number for Tooth Barn LLC is 1639988256. It was assigned to this organization in the NPPES registry on January 7, 2025.

Q: What is Tooth Barn LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tooth Barn LLC was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since January 07, 2025

2261 GATTIS SCHOOL RD STE 300, ROUND ROCK, TX 78664(512) 361-0696 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tooth Barn Llc NPPES

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

TOOTH BARN LLC (NPI 1639988256) is a healthcare organization registered as a general practice in Round Rock, Texas and active in the NPI registry since January 2025. The organization lists Rajita Kodali Kanuru, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1639988256

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameTOOTH BARN LLC

Location Address2261 GATTIS SCHOOL RD STE 300Round Rock, TX 78664-2886

Mailing Address2261 Gattis School Rd Ste 300Round Rock, TX 78664-2886

Phone(512) 361-0696

Organization SubpartNo

Authorized OfficialRajita Kodali KanuruDentist/owner · (512) 361-0696

Enumeration DateJanuary 7, 2025

Last NPPES UpdateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1639988256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

2261 GATTIS SCHOOL RD STE 300, Round Rock, TX 78664

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Tooth Barn LLC's NPI number?

The NPI number for Tooth Barn LLC is 1639988256. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Tooth Barn LLC located?

Tooth Barn LLC is located at 2261 Gattis School Rd Ste 300, Round Rock, TX 78664. The listed phone number is (512) 361-0696.

What is Tooth Barn LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tooth Barn LLC was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.