Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brazos Valley Smiles, PC

Q: What type of organization is Brazos Valley Smiles, PC?

Brazos Valley Smiles, PC is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

Dental Clinic/Center in College Station, TX · enumerated 2011 · authorized official Ketan Sukkawala, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386924694

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Registry record

Entity type Organization (Type 2)

Legal business name Brazos Valley Smiles, PC

Practice address 1103 Rock Prairie Rd Ste 1001, College Station, TX, 77845

Phone (979) 694-5200

Fax (979) 694-5223

Enumeration date Aug 18, 2011

Last updated in NPPES Jun 11, 2019

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 19635 (TX) Primary

Authorized official

Name Ketan Sukkawala

Title President

Phone (979) 694-5200

Other identifiers

Identifier	Type	State	Issuer
280969101	Medicaid	TX	-
009547301	Medicaid	TX	-
26291	Other	TX	DENTAL LICENSE NUMBER
090878203	Medicaid	TX	-
12102	Other	TX	DENTAL LICENSE NUMBER
19635	Other	TX	DENTAL LICENSE NUMBER
316310702	Medicaid	TX	-
26496	Other	TX	DENTAL LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Brazos Valley Smiles, PC?

Brazos Valley Smiles, PC is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

Ketan Sukkawala Pediatric Dentistry · College Station, TX NPI 1710030077 Brian Barras Pediatric Dentistry · College Station, TX NPI 1649566431

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-11.