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Export Provider Record NPI 1164083036
Haritha DurairajDDS
Active
NPI Number1164083036
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1164083036
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2019-06-21
Last Updated2019-06-21
Mailing Address2710 Talsworth Dr
College Station, TX 77845-7996
United States
Phone: (517) 763-9938
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Primary Practice Address1530 Texas Ave S Ste 300
College Station, TX 77840-3390
United States
Phone: (979) 599-5544
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeTX35318
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About NPI 1164083036

Haritha Durairaj DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164083036. The primary specialty listed is Dentist, General Practice. The provider is located in College Station, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-06-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164083036?

NPI 1164083036 belongs to Haritha Durairaj DDS, a Dentist, General Practice in College Station, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164083036 active?

The current status of NPI 1164083036 in the NPPES registry is Active. The record was last updated on 2019-06-21.

What specialty is NPI 1164083036?

NPI 1164083036 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164083036?

You can verify NPI 1164083036 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164083036?

The primary practice address on file for NPI 1164083036 is 1530 Texas Ave S Ste 300, College Station, TX 77840-3390. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164083036 issued?

NPI 1164083036 was first issued (enumerated) on 2019-06-21. The NPPES record was last updated on 2019-06-21.

Practice Location Map

Haritha Durairaj is located at 1530 Texas Ave S Ste 300, College Station, TX. Use the map below to find directions or verify the practice location.

📍 1530 Texas Ave S Ste 300, College Station, TX 77840-3390  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Haritha Durairaj. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1164083036. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice35318TX
Data Verified from CMS NPPES Last synced: 2026-07-06 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162