Active NPI
Yasodhadevi Lakshmanakumarasamy, DDS
- Dentist
- Frisco, TX
National Provider Identifier
1194055194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58905
- Practice address
- 2440 Timber Ridge Dr
Suite 102
Frisco, TX 75034-5040 - Phone
- (408) 470-8418
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25241 | TX | |
| Dentist | 122300000X | 58905 | CA | Primary |
Addresses
Primary practice location
2440 Timber Ridge Dr
Suite 102
Frisco, TX 75034-5040
Mailing address
115 London Way
Coppell, TX 75019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160418002311 | TX | Order and Referring Only - Oral Surgery | 5092013441 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25241 | TX | MD | Clinical Psychologist |
| 58905 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Yaso Lakshmanakumarasamy DDS PA | Dentist | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1194055194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 LONDON WAY",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 TIMBER RIDGE DR",
"address_2": "SUITE 102",
"city": "FRISCO",
"state": "TX",
"postal_code": "750345040",
"telephone_number": "408-470-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKSHMANAKUMARASAMY",
"first_name": "YASODHADEVI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25241",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.