Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306194451 Individual Practitioner Female Practitioner

Dr. Vijaya Lakshmi Bathina , DMD

Dentist - General Practice • Keller, TX

Professional Overview & Biography Verified Profile Summary

Dr. Vijaya Bathina, DMD is a registered healthcare professional specializing in Dentist - General Practice in Keller, TX. Practice services are available at 794 KELLER PKWY STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

794 Keller Pkwy Ste A

Keller, TX 762482490

Telephone 8174311596
Associated Practice Facility / Clinic
🏢 Keller Family Dental Pllc Facility NPI 1730427527

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Keller, TX

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

Practicing in Keller, 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: 2022-01-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 29516

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 MA DN1856099

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 IL 019.029181

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Seror Alrubaye , DDS

Dentist - General Practice

NPI 1548813926

Doctor of Dental Surgery

NPI 1750569703

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 27, 2021

Registered at 794 KELLER PKWY STE A, KELLER, TX 762482490 (Tel: 8174311596)

📍
Updated Business Mailing Address December 27, 2021

Registered at 519 HIDDEN MEADOW DR, KELLER, TX 762481229 (Tel: 8064209134)

NPI Profile Active August 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2012

Registered at 5301 ROUTE 251, PERU, IL 61354 (Tel: 8157809825)

📍
Updated Business Mailing Address August 21, 2012

Registered at 860 HARRISON AVE, APT #306, BOSTON, MA 021184023 (Tel: 8064209134)

👤
Provider Name / Credentials Updated August 21, 2012

Recorded as VIJAYA BATHINA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2012

Dentist (License #019.029181 in IL)

🟢
Initial NPI Registration & Enumeration August 21, 2012

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: 1306194451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2012
Last Update: January 17, 2022
Sole Proprietor: No

Mailing Address

519 Hidden Meadow Dr

Keller, TX 762481229

Phone: 8064209134

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.