NPIMap

Organization Active NPI

VBK Dental PLLC

Doing business as Prime Dental

  • General Practice Dentistry
  • Tyler, TX
National Provider Identifier
1497470009
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VBK DENTAL PLLC
Doing business as
Prime Dental
Practice address
5868 Old Jacksonville Hwy Ste 400
Tyler, TX 75703-0739
Phone
(903) 710-1779
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Vishal Kulkarni, DDSNPI 1588016349
Title
Owner
Phone
(484) 860-5551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5868 Old Jacksonville Hwy Ste 400
Tyler, TX 75703-0739

Mailing address

5868 Old Jacksonville Hwy Ste 400
Tyler, TX 75703-0739
Phone (903) 710-1779

Other identifiers 1

IdentifierTypeStateIssuer
31955OtherTXGENERAL DENTISTRY

Other names 1

  • Prime Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5868 Old Jacksonville Hwy
Ste 400
Tyler, TX 75703
Phone (903) 710-1779

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": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1497470009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 OLD JACKSONVILLE HWY STE 400",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030739",
            "telephone_number": "903-710-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5868 OLD JACKSONVILLE HWY STE 400",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030739",
            "telephone_number": "903-710-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VBK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-860-5551",
        "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": "GENERAL DENTISTRY",
            "identifier": "31955",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.