Active NPI
Kirankumar Hegde
- General Practice Dentistry
- Granbury, TX
National Provider Identifier
1033576590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31650
- Practice address
- 708 Paluxy Rd
Suite B
Granbury, TX 76048-2396 - Phone
- (817) 573-4600
- NPI assigned
- Jan 27, 2016
- Last updated
- Aug 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31650 | TX | Primary |
Addresses
Primary practice location
708 Paluxy Rd
Suite B
Granbury, TX 76048-2396
Mailing address
3901 Citrine Pass
1-136
Haltom City, TX 76137-7073
Phone (508) 308-1165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31650 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granbury Snoring and Sleep Solutions, PLLC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Keller, TX
- NPI 1083563670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1033576590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 CITRINE PASS",
"address_2": "1-136",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761377073",
"telephone_number": "508-308-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 PALUXY RD",
"address_2": "SUITE B",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760482396",
"telephone_number": "817-573-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGDE",
"first_name": "KIRANKUMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granbury, TX
- Healthcare of West Texas LLC (Interim Healthcare)
- Heart Center of North Texas, PA (Heart Center of North Texas)
- Heart Center of North Texas, PA (Heart Center of North Texas)
- Heartland Dental Care of TX, PC (Granbury Dental Center- Pecan Plantation)
- Tony Gene Hedges, D.O.
- Jonathan Ray Heizer, DDS
- Karissa Heller, CCC-SLP
- Kelly Cario Hernandez, FNP-C
- Lawrence Robert Hess, F.N.P.
- Nance D Hicks, D0
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.