NPI age
6 years
Enumerated 2019-07-28
● Active
Type 1 · Individual
DR. Jai Krishna Srikanth Kolliboyana, DDS
Kolliboyana is 1 of 47 dentist providers in San Angelo and 1 of 15661 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15661 active dentist providers in Texas.
NPI age
6 years
↓ 8 yr below median (14 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Practice location
4403 Sherwood Way
San Angelo, TX 769015616
Mailing address
4300 Cromwell Dr Apt 3210
Kyle, TX 786406496
Additional practice locations
1 secondary location on file with NPPES.
Location 2
401 Fm 518 Rd Ste A
Kemah, TX 775653281
Specialties
-
Dentist PrimaryA 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.
-
DentistA 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...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new dentist provider has been added in San Angelo in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.