Organization Active NPI

Lavu PLLC

Doing business as Lavu Dental

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1619463114
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24206 Issued in TX
Legal business name
LAVU PLLC
Doing business as
Lavu Dental
Practice address
1007 W Mitchell St Ste 201
Arlington, TX 76013-2504
Phone
(817) 330-8090
NPI assigned
Jul 8, 2018
Last updated
Jul 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Authorized official

Name
Sushma Lavu, DDS
Title
Member
Phone
(817) 330-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 24206 TX Primary

Addresses

Primary practice location

1007 W Mitchell St Ste 201
Arlington, TX 76013-2504

Mailing address

2001 Simmons Rd
Flower Mound, TX 75022-4431

Other names 2

  • Lavu Dental Doing business as
  • Premier Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

1007 W Mitchell St
Ste 201
Arlington, TX 76013
Phone (817) 330-8090

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531008000000",
    "number": "1619463114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SIMMONS RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W MITCHELL ST STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132504",
            "telephone_number": "817-330-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A",
        "authorized_official_last_name": "LAVU",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-330-8090",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lavu Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; 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.