Organization Active NPI

Shukrana Guruji LLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1497455737
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHUKRANA GURUJI LLC
Practice address
8324 Lake June Rd
Dallas, TX 75217-2135
Phone
(214) 398-1568
Fax
(214) 398-2306
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Dr. Tarika Malik, DMDNPI 1497249106
Title
Dentist/Owner
Phone
(214) 398-1568

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8324 Lake June Rd
Dallas, TX 75217-2135

Mailing address

8324 Lake June Rd
Dallas, TX 75217-2135
Phone (214) 398-1568

Other identifiers 1

IdentifierTypeStateIssuer
1497249106MedicaidTX

National Provider Directory

National Provider Directory

Locations

8324 Lake June Rd
Dallas, TX 75217
Phone (214) 398-1568

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1497455737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752172135",
            "telephone_number": "214-398-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752172135",
            "telephone_number": "214-398-1568",
            "fax_number": "214-398-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUKRANA GURUJI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "TARIKA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "214-398-1568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497249106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.