P Praxis·MD
● Active Type 1 · Individual

Edward Pushkarev

Dentist·Temple, TX· NPI 1124602677 · Enumerated 2021 · 5 years on NPI
Pushkarev is 1 of 32 dentist providers in Temple and 1 of 9237 in Texas.
NPI age
5 years
Enumerated 2021-05-11
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 9237 active dentist providers in Texas.

NPI age
5 years
↓ 7 yr below median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-05Enumerated in NPPES
2021 2026

Where they practice

Practice location
2320 S 31st St Ste 120
Temple, TX 765042429
📞 4845262460
Mailing address
13149 Alta Vista Way
Sylmar, CA 913423462
📞 3106898657

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TX license #38788 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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