Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689035685 Individual Practitioner Female Practitioner

Dr. Diana Koppuzha , DMD

Dentist - General Practice • Kyle, TX

Professional Overview & Biography Verified Profile Summary

Dr. Diana Koppuzha, DMD is a registered healthcare professional specializing in Dentist - General Practice in Kyle, TX. Practice services are available at 20389 INTERSTATE 35 STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20389 Interstate 35 Ste 200

Kyle, TX 786402039

Telephone 5122568754
Associated Practice Facility / Clinic
🏢 Brush32 Dental Of Kyle Pllc Facility NPI 1578912630

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kyle, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Kyle, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 33222

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

4 Associated Practitioners
NPI 1215657465

Doctor of Dental Surgery

Dr. Kindra Dietrich , DMD

Dentist - General Practice

NPI 1306521364

Doctor of Dental Medicine

Dr. Jennifer Jesko , DDS

Dentist - General Practice

NPI 1407300353

Doctor of Dental Surgery

Dr. Rachel Worley , DDS, MS

Dentist - General Practice

NPI 1467156554

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2017

Registered at 20389 INTERSTATE 35 STE 200, KYLE, TX 786402039 (Tel: (512) 256-8754)

📍
Updated Business Mailing Address July 10, 2017

Registered at 20389 INTERSTATE 35 STE 200, KYLE, TX 786402039 (Tel: (512) 256-8754)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as DIANA KOPPUZHA, D.M.D.

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

Dentist (License #33222 in TX)

NPI Profile Active March 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2016

Registered at 1824 MADISON AVE, NEW YORK, NY 100353832 (Tel: 9419619224)

📍
Updated Business Mailing Address March 18, 2016

Registered at 4871 COUNTRY MEADOWS BLVD, SARASOTA, FL 342358218 (Tel: 9419619224)

👤
Provider Name / Credentials Updated March 18, 2016

Recorded as DIANA KOPPUZHA, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2016

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: 1689035685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2016
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

20389 Interstate 35 Ste 200

Kyle, TX 786402039

Phone: 5122568754

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.