Active NPI
Vijaya Lakshmi Kallam, DDS
- General Practice Dentistry
- Frisco, TX
National Provider Identifier
1326291949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24264
- Practice address
- 12388 FM 423 Ste 100
Frisco, TX 75033-4961 - Phone
- (214) 872-2700
- Fax
- (214) 872-2701
- NPI assigned
- Oct 28, 2008
- Last updated
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24264 | TX | Primary |
Addresses
Primary practice location
12388 FM 423 Ste 100
Frisco, TX 75033-4961
Mailing address
12388 FM 423 Ste 100
Frisco, TX 75033-4961
Phone (214) 872-2700
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 |
|---|---|---|---|
| 24264 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kallam PLLC | Current | Accepting new patients |
Locations
12388 FM 423
Ste 100
Frisco, TX 75033
Phone (214) 872-2700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1326291949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12388 FM 423 STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334961",
"telephone_number": "214-872-2700",
"fax_number": "214-872-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12388 FM 423 STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334961",
"telephone_number": "214-872-2700",
"fax_number": "214-872-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLAM",
"first_name": "VIJAYA LAKSHMI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.