Organization Active NPI

Kuruvilla

  • Dentist
  • Houston, TX
National Provider Identifier
1366810830
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25871 Issued in TX
Legal business name
KURUVILLA
Practice address
13180 Westpark Dr Ste 106
Houston, TX 77082-4936
Phone
(832) 641-8608
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Jini Kuruvilla, DMDNPI 1285949263
Title
Dentist
Phone
(832) 641-8608

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 25871 TX Primary

Addresses

Primary practice location

13180 Westpark Dr Ste 106
Houston, TX 77082-4936

Mailing address

10834 Fletcher Bridge LN
Sugar Land, TX 77498-2057
Phone (832) 641-8607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1366810830",
    "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": "13180 WESTPARK DR STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770824936",
            "telephone_number": "832-641-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURUVILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "KURUVILLA",
        "authorized_official_first_name": "JINI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-641-8608",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.