Pure Theory Implant Services LLC

Key facts

NPI

1629909767

Entity type

Organization (NPI type 2)

Primary specialty

Specialist 174400000X

Legal business name

PURE THEORY IMPLANT SERVICES LLC

Practice address

12000 US Highway 380 Ste 114
Cross Roads, TX 76227-2340

Phone

(972) 286-5711

Fax

(972) 286-5715

NPI assigned

May 27, 2026

Organization subpart

No

Authorized official

Name

Sukhraj Khassa

Title

Manager

Phone

(972) 286-5711

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2026.

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1629909767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SHEPHERD LN",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751802325",
            "telephone_number": "972-286-5711",
            "fax_number": "972-286-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 US HIGHWAY 380 STE 114",
            "city": "CROSS ROADS",
            "state": "TX",
            "postal_code": "762272340",
            "telephone_number": "972-286-5711",
            "fax_number": "972-286-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 North Fwy Ste 109",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761377556",
            "country_code": "US",
            "telephone_number": "817-232-4600",
            "fax_number": "817-482-6595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 Trinity Mills Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752876282",
            "country_code": "US",
            "telephone_number": "972-306-3282",
            "fax_number": "972-862-6792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Shepherd Ln",
            "address_purpose": "LOCATION",
            "city": "Balch Springs",
            "state": "TX",
            "postal_code": "751802325",
            "country_code": "US",
            "telephone_number": "972-286-5711",
            "fax_number": "972-286-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE THEORY IMPLANT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SUKHRAJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-286-5711"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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