Active NPI
Shakti Darshan PLLC
- Dentist
- Fort Worth, TX
National Provider Identifier
1083138341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29393
- Legal business name
- SHAKTI DARSHAN PLLC
- Practice address
- 10313 Roatan TRL
Fort Worth, TX 76244-2039 - Phone
- (617) 513-1942
- NPI assigned
- Jul 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kintukumar Lad
- Title
- DDS
- Phone
- (617) 513-1942
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29393 | TX | Primary |
Addresses
Primary practice location
10313 Roatan TRL
Fort Worth, TX 76244-2039
Mailing address
10313 Roatan TRL
Fort Worth, TX 76244-2039
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503273600000",
"number": "1083138341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10313 ROATAN TRL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762442039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10313 ROATAN TRL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762442039",
"telephone_number": "617-513-1942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAKTI DARSHAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-28",
"last_updated": "2017-08-21",
"status": "A",
"authorized_official_last_name": "LAD",
"authorized_official_first_name": "KINTUKUMAR",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "617-513-1942"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "29393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.