Amrittej Singh Virk

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

34421 Issued in TX

Practice address

630 N Kimball Ave Ste 110
Southlake, TX 76092

Phone

(817) 251-9985

NPI assigned

Jun 6, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Specialty

Dentist

Education

Univ of Pennsylvania School of Dental Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virk TMJ PLLCGroup PAC ID 3274930136, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: virktmjpllc.amrittejvirk@149272.advancedmd-direct.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.

• Virk TMJ PLLC

  • Pain Clinic/Center
  • Southlake, TX
  • NPI 1255978763

  Orofacial Pain

  Medicare reassignment Care Compare group NPD Authorized official
• Virk TMJ PLLC

  • Orofacial Pain Dentistry
  • Fort Worth, TX
  • NPI 1922992015
  NPD Authorized official

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1346732153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926887",
            "telephone_number": "817-251-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-251-9985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Kimball Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "76092",
            "country_code": "US",
            "telephone_number": "817-251-9985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRK",
        "first_name": "AMRITTEJ",
        "middle_name": "SINGH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34421",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "9990",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "TX",
            "license": "34421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Vilchis, PT
• Thomas Vina
• Vintage Medical, LLC
• Shurida Virani, PMHNP
• Virk TMJ PLLC
• Virtuoso Surgery Center
• Vision Trends - South Lake
• Vitalis Psychotherapy and Counselling LLC
• Vitality Health Partners PLLC
• Madison Vitt

• Orofacial Pain Dentistry in Southlake, TX
• Providers in Southlake, TX by specialty
• Orofacial Pain Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.