NPIMap

Organization Active NPI

Lake June Dental PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1588923312
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKE JUNE DENTAL PLLC
Practice address
10025 Lake June Rd
Dallas, TX 75217-3041
Phone
(972) 362-2237
Fax
(972) 362-2238
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Sarabjit K Khassa
Title
Dental Director
Phone
(972) 362-2237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10025 Lake June Rd
Dallas, TX 75217-3041

Mailing address

15110 Dallas Pkwy
470
Dallas, TX 75248-4635

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1588923312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY",
            "address_2": "470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173041",
            "telephone_number": "972-362-2237",
            "fax_number": "972-362-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE JUNE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "972-362-2237"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 6, 2015; 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.