Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518391242 Individual Practitioner Male Practitioner

Dr. Rakshith Arakotaram Ravikumar , DMD

Dentist - General Practice • Bastrop, TX

Professional Overview & Biography Verified Profile Summary

Dr. Rakshith Arakotaram Ravikumar, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bastrop, TX. Practice services are available at 1670 HIGHWAY 71 E STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1670 Highway 71 E Ste A

Bastrop, TX 786022034

Telephone 5122406496
Associated Practice Facility / Clinic
🏢 Bastrop Modern Dentistry,pc Facility NPI 1093252611

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bastrop, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Bastrop, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 32572

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NM DD4008

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.

Secondary Practice Locations

2600 N Main St

Roswell, NM 882016554

Phone: 6178346618

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1144801515

Doctor of Dental Surgery

NPI 1588363766

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 07, 2021

Registered at 1670 HIGHWAY 71 E STE A, BASTROP, TX 786022034 (Tel: 5122406496)

📍
Updated Business Mailing Address January 07, 2021

Registered at 12804 VERONESE DR, AUSTIN, TX 787391619 (Tel: 6178346618)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2021

Dentist (License #32572 in TX)

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 10, 2017

Registered at 2601 N KENTUCKY AVE, 16, ROSWELL, NM 882015845 (Tel: 6178346618)

📍
Updated Practice Location March 10, 2017

Registered at 2600 N MAIN ST, ROSWELL, NM 882016554 (Tel: 6178346618)

👤
Provider Name / Credentials Updated March 10, 2017

Recorded as RAKSHITH ARAKOTARAM RAVIKUMAR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Dentist (License #32572 in TX)

NPI Profile Active October 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2013

Registered at 2600 N MAIN ST, ROSWELL, NM 882016554 (Tel: 6178346618)

📍
Updated Business Mailing Address October 21, 2013

Registered at 35 NORTHAMPTON ST, APT 2304, BOSTON, MA 021184014 (Tel: 6178346618)

👤
Provider Name / Credentials Updated October 21, 2013

Recorded as RAKSHITH ARAKOTARAM RAVIKUMAR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2013

Dentist (License #DD4008 in NM)

🟢
Initial NPI Registration & Enumeration August 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518391242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2013
Last Update: January 07, 2021
Sole Proprietor: No

Mailing Address

12804 Veronese Dr

Austin, TX 787391619

Phone: 6178346618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.