Kinnari Prajapati, D.D.S., PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20617 Issued in TX

Legal business name

KINNARI PRAJAPATI, D.D.S., PA

Doing business as

Canyon Creek Dentistry

Practice address

1618 Canyon Creek Dr
Suite 110
Temple, TX 76502-3275

Phone

(254) 771-5900

Fax

(254) 771-5380

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kinnari Prajapati, D.D.S.NPI 1154414415

Title

President

Phone

(254) 771-5900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Canyon Creek Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kinnari M Prajapati, D.D.S.

  • General Practice Dentistry
  • Temple, TX
  • NPI 1154414415
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417085242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7718 BUCKMEADOW DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283708",
            "telephone_number": "512-869-8300",
            "fax_number": "512-869-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 CANYON CREEK DR",
            "address_2": "SUITE 110",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023275",
            "telephone_number": "254-771-5900",
            "fax_number": "254-771-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNARI PRAJAPATI, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRAJAPATI",
        "authorized_official_first_name": "KINNARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-771-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UC",
            "identifier": "01361994",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B20617",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Creek Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaiquan King
• King's Daughters Hospital Association (King's Daughters Hospital Skilled Nursing Facility)
• King's Daughters Hospital Association (King's Daughters Home Health)
• Codi Richardson Kingman, M.D.
• Kings Daughters Pharmacy LLC (King's Daughters Pharmacy)
• Catina Marie Kinney, LCSW
• Gillian Kinney
• Linda Jeanne Kirby-Keyser, M.D.
• Jason Kirk, M.D.
• Batool Fuad Kirmani, MD

• General Practice Dentistry in Temple, TX
• Providers in Temple, 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 22, 2020; 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.