Active NPI
Libby Ann Kuzhippillil, RDH
- Dental Hygienist
- Dallas, TX
National Provider Identifier
1255465795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 14159
- Practice address
- 11661 Preston Rd
Dallas, TX 75230-2745 - Phone
- (214) 361-4151
- NPI assigned
- Mar 15, 2007
- Last updated
- Jun 19, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 14159 | TX | Primary |
Addresses
Primary practice location
11661 Preston Rd
Dallas, TX 75230-2745
Mailing address
4209 Pear TRL
Mesquite, TX 75150-4225
Phone (214) 289-1733
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 |
|---|---|---|---|
| 14159 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1255465795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 PEAR TRL",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751504225",
"telephone_number": "214-289-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11661 PRESTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302745",
"telephone_number": "214-361-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUZHIPPILLIL",
"first_name": "LIBBY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "14159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.