Organization Active NPI

Orbit Dental Professional Limited Liability Company

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1437609302
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25821 Issued in TX
Legal business name
ORBIT DENTAL PROFESSIONAL LIMITED LIABILITY COMPANY
Practice address
7430 N Beach St
Suite 312
Fort Worth, TX 76137-1541
Phone
(732) 688-5939
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Archana M Lankupalli, DDS
Title
Manager
Phone
(732) 688-5939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 25821 TX Primary

Addresses

Primary practice location

7430 N Beach St
Suite 312
Fort Worth, TX 76137-1541

Mailing address

6904 Tabernacle Drive
Plano, TX 75024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1437609302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 TABERNACLE DRIVE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 N BEACH ST",
            "address_2": "SUITE 312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371541",
            "telephone_number": "732-688-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORBIT DENTAL PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "LANKUPALLI",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-688-5939",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.