NPIMap

Organization Active NPI

Vande Matram Periodontology, PA

  • Periodontics
  • Keller, TX
National Provider Identifier
1225213176
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
19155 Issued in TX
Legal business name
VANDE MATRAM PERIODONTOLOGY, PA
Practice address
1674 Keller Pkwy
# 160
Keller, TX 76248-3751
Phone
(817) 741-4867
Fax
(817) 741-3333
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Randhir Kumar Kapoor, DDS, PHD.NPI 1730541061
Title
Periodontist
Phone
(817) 741-4867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 19155 TX Primary

Addresses

Primary practice location

1674 Keller Pkwy
# 160
Keller, TX 76248-3751

Mailing address

1674 Keller Pkwy
# 160
Keller, TX 76248-3751
Phone (817) 741-4867

Other names 1

  • Randhir K Kapoor, DDS., PhD. Doing business as

National Provider Directory

National Provider Directory

Locations

1674 Keller Pkwy
Ste 160
Keller, TX 76248
Phone (817) 741-4867

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1225213176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 KELLER PKWY",
            "address_2": "# 160",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483751",
            "telephone_number": "817-741-4867",
            "fax_number": "817-741-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 KELLER PKWY",
            "address_2": "# 160",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483751",
            "telephone_number": "817-741-4867",
            "fax_number": "817-741-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDE MATRAM PERIODONTOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "RANDHIR",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "817-741-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "19155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randhir K Kapoor, DDS., PhD.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.