Pavana Kulathanal Chakrapani

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36330 Issued in TX

Practice address

1072 Federal Rd
Houston, TX 77015-4804

Phone

(281) 661-6090

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smilz PLLC

  • Dental Clinic/Center
  • Sugar Land, TX
  • NPI 1417647199
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1104434752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 KENDALL HILL CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794519",
            "telephone_number": "832-870-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 FEDERAL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154804",
            "telephone_number": "281-661-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULATHANAL CHAKRAPANI",
        "first_name": "PAVANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamlesh Uttamchand Kukreja, MD
• Ruchi S Kukreja, PSYD
• Patricia Kuku, REGISTERED NURSE
• Harman Singh Kular, M.D.
• Sierra Kulas, APRN, WHNP-BC
• Elizabeth Kulda, DDS
• Katya Kulic, DDS
• Agadadash Kuliev, MD
• Kimberly Ann Kulig, MT(ASCP), CLS(NCA)
• Aditi Narendra Kulkarni, MD

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.