Organization Active NPI

Dental Depot of Lewisville, PLLC

Doing business as Dental Depot of Lewisville

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1437767290
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL DEPOT OF LEWISVILLE, PLLC
Doing business as
Dental Depot of Lewisville
Practice address
1260 W Round Grove Rd Ste 100
Lewisville, TX 75067-8075
Phone
(972) 441-2345
Fax
(972) 332-0141
NPI assigned
Jul 17, 2020
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Dr. Himesh I Kana, DDSNPI 1336233022
Title
Managing Partner Dental Depot DFW
Phone
(972) 795-9205

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1260 W Round Grove Rd Ste 100
Lewisville, TX 75067-8075

Mailing address

1260 W Round Grove Rd Ste 200
Lewisville, TX 75067-8075
Phone (972) 441-2345

Other identifiers 4

IdentifierTypeStateIssuer
1528417110OtherTXNPI
1982736864OtherTXNPI
1548381536OtherTXNPI
1336233022OtherTXNPI

Other names 1

  • Dental Depot of Lewisville Doing business as

National Provider Directory

National Provider Directory

Locations

1260 W FM 3040
Lewisville, TX 75067

1260 W Round Grove Rd
Ste 100
Lewisville, TX 75067
Phone (972) 441-2345

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1437767290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 W ROUND GROVE RD STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678075",
            "telephone_number": "972-441-2345",
            "fax_number": "972-332-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 W ROUND GROVE RD STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678075",
            "telephone_number": "972-441-2345",
            "fax_number": "972-332-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT OF LEWISVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "KANA",
        "authorized_official_first_name": "HIMESH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGING PARTNER DENTAL DEPOT DFW",
        "authorized_official_telephone_number": "972-795-9205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528417110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982736864",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548381536",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336233022",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Depot of Lewisville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Depot of Lewisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.