Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770723595 Individual Practitioner Male Practitioner

Dr. Siva Sethuraman , DMD

Dentist - General Practice • Kyle, TX

Professional Overview & Biography Verified Profile Summary

Dr. Siva Sethuraman, DMD is a registered healthcare professional specializing in Dentist - General Practice in Kyle, TX. Practice services are available at 2810 DACY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2810 Dacy Ln

Kyle, TX 786406322

Telephone 5122688900
Fax 5122682250
Associated Practice Facility / Clinic

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

CMS Verified: 2024-04-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 28404

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
314500501 (TX)

Practice Associates & Co-Workers

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

28 Associated Practitioners
Dr. Christopher Hastings , DDS

Dentist - General Practice

NPI 1104912229

Doctor of Dental Surgery

Kayla Merritt

Nurse Practitioner - Women's Health

NPI 1164195392
Magdalene Rozmiarek , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164907101

Nurse Practitioner

Dr. James Wang , MD

Family Medicine

NPI 1184078388

Doctor of Medicine (M.D.)

NPI 1184185456

Doctor of Medicine (M.D.)

NPI 1245246420

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated April 25, 2024

Recorded as SIVA SETHURAMAN, DMD

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2017

Registered at 2810 DACY LN, KYLE, TX 786406322 (Tel: 5122688900)

📍
Updated Business Mailing Address August 08, 2017

Registered at 3066 E COMMERCE ST, SAN ANTONIO, TX 782201013 (Tel: (210) 233-7000)

👤
Provider Name / Credentials Updated August 08, 2017

Recorded as SIVA SETHURAMAN, D,M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Dentist (License #28404 in TX)

NPI Profile Active December 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2014

Registered at 2810 DACY LN, KYLE, TX 786406322 (Tel: 5122688900)

📍
Updated Business Mailing Address December 08, 2014

Registered at 3066 E COMMERCE ST, SAN ANTONIO, TX 782201013 (Tel: 2102337000)

👤
Provider Name / Credentials Updated December 08, 2014

Recorded as SIVA SETHURAMAN, D,M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2014

Dentist (License #28404 in TX)

🟢
Initial NPI Registration & Enumeration March 06, 2009

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: 1770723595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2009
Last Update: April 25, 2024
Sole Proprietor: No

Mailing Address

3066 E Commerce St

San Antonio, TX 782201013

Phone: 2102337000

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.