Organization Active NPI

David M. Ku DDS PLLC

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1457696163
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID M. KU DDS PLLC
Practice address
555 Manco Rd Ste B
Lewisville, TX 75067-3640
Phone
(972) 434-9494
Fax
(972) 436-9495
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. David M Ku, DDSNPI 1245369032
Title
General Dentistry
Phone
(972) 434-9494

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 Primary

Addresses

Primary practice location

555 Manco Rd Ste B
Lewisville, TX 75067-3640

Mailing address

555 Manco Rd Ste B
Lewisville, TX 75067-3640
Phone (972) 434-9494

Other identifiers 1

IdentifierTypeStateIssuer
1306508MedicaidTX

National Provider Directory

National Provider Directory

Locations

555 Manco Rd
Ste B
Lewisville, TX 75067
Phone (972) 434-9494

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1457696163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MANCO RD STE B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673640",
            "telephone_number": "972-434-9494",
            "fax_number": "972-436-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MANCO RD STE B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673640",
            "telephone_number": "972-434-9494",
            "fax_number": "972-436-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. KU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL DENTISTRY",
        "authorized_official_telephone_number": "972-434-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 6, 2012; 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.