NPIMap

Organization Active NPI

Virk TMJ PLLC

  • Pain Clinic/Center
  • Southlake, TX
National Provider Identifier
1255978763
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
VIRK TMJ PLLC
Practice address
1160 N Kimball Ave Ste 110
Southlake, TX 76092-5572
Phone
(817) 251-9985
NPI assigned
Dec 3, 2019
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Amrittej Virk, DDSNPI 1346732153
Title
Owner
Phone
(817) 251-9985

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X2210X
Dental Clinic/Center 261QD0000X
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

1160 N Kimball Ave Ste 110
Southlake, TX 76092-5572

Mailing address

1160 N Kimball Ave Ste 110
Southlake, TX 76092-5572
Phone (817) 251-9985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210921001323 TX Part B Supplier - Clinic/Group Practice 3274930136 Receives reassigned benefits from 4 practitioners
Practice locations: Southlake, TX; Plano, TX; Fort Worth, TX
O20211110003085 TX DME Supplier - Oral Surgery - Dentist 3274930136 Practice locations: Southlake, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Virk TMJ PLLC

Locations

630 N Kimball Ave
Ste 110
Southlake, TX 76092
Phone (817) 251-9985

Practitioners & affiliated clinicians

Practitioners 4

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": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1255978763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925572",
            "telephone_number": "817-251-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925572",
            "telephone_number": "817-251-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRK TMJ PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2019-12-03",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "AMRITTEJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-251-9985",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.