OrganizationActive
Niva Dental Specialists PLLC
NPI 1194436634 · Oral and Maxillofacial Surgery (Dentist) · Leander, TX
Provider details
- NPI number
- 1194436634
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Shouvik Ponnusamy, Owner(630) 267-1199
Specialties & taxonomies
Dental Providers
- Endodontics1223E0200X
Dental Providers
- Periodontics1223P0300X
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15141 Ronald Reagan Blvd
Suite 516
Leander, TX 78641-7864
Phone: (512) 881-8852
Fax: (512) 881-7721
Street-level locationGet directions
Mailing address
1511 Rimstone Dr
Cedar Park, TX 78613-7692
Registry dates
- Enumerated
- 2022-12-06
- Last updated
- 2022-12-06
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.