Organization Active NPI

Little Lantern Care

  • Surgery Physician
  • Carrollton, TX
National Provider Identifier
1306383294
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M7387 Issued in TX
Legal business name
LITTLE LANTERN CARE
Practice address
4541 N Josey LN Ste 110
Carrollton, TX 75010-4622
Phone
(469) 788-8588
Fax
(469) 788-7800
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dr. Biju M Lukose
Title
Ceo
Phone
(469) 546-5304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X M7387 TX Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X M7387 TX

Addresses

Primary practice location

4541 N Josey LN Ste 110
Carrollton, TX 75010-4622

Mailing address

2705 Damsel Bella Blvd
The Colony, TX 75056-6169
Phone (469) 850-2677

National Provider Directory

National Provider Directory
Tax ID family
Little Lantern Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1401 E Trinity Mills Rd
Ste 1092
Carrollton, TX 75006

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1306383294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 DAMSEL BELLA BLVD",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566169",
            "telephone_number": "469-850-2677",
            "fax_number": "940-400-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104622",
            "telephone_number": "469-788-8588",
            "fax_number": "469-788-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE LANTERN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "LUKOSE",
        "authorized_official_first_name": "BIJU",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-546-5304",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7387",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "M7387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.