Jini Punnoose Kuruvilla, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0025871 Issued in TX

Practice address

10834 Fletcher Bridge LN
Sugar Land, TX 77498-2057

Phone

(832) 641-8607

NPI assigned

Aug 13, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jkuruvilla91983@memorialhermann.direct-ci.com

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.

• Kuruvilla

  • Dentist
  • Houston, TX
  • NPI 1366810830
  NPD (past) Authorized official

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1285949263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10834 FLETCHER BRIDGE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982057",
            "telephone_number": "832-641-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10834 FLETCHER BRIDGE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982057",
            "telephone_number": "832-641-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUVILLA",
        "first_name": "JINI",
        "middle_name": "PUNNOOSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0025871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kumarx, LLC
• James Kunnacherry, RT
• Annmarie Kuriako, DPT
• Jamie A Kurian, D.D.S.
• Jacquelyne Marisa Kurtz, M.A., LPC
• Monica Ann Kuruvilla, PHARMD
• Carson Ray Kuzawa, PA-C
• Anna Doris Kwan, RPH
• Melissa Kwan, MD
• Peter C.K. Kwan, MD

• General Practice Dentistry in Sugar Land, TX
• Providers in Sugar Land, 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 Aug 13, 2010; 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.

Verify at the official NPI Registry.