Individual provider Active NPI

Leticia Turullols, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1639276165
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013042 Issued in TX
Practice address
633 W Little York Rd
Houston, TX 77091-2423
Phone
(713) 694-9070
Fax
(713) 694-1487
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 013042 TX Primary

Addresses

Primary practice location

633 W Little York Rd
Houston, TX 77091-2423

Mailing address

633 W Little York Rd
Houston, TX 77091-2423
Phone (713) 694-9070

Other identifiers 2

IdentifierTypeStateIssuer
091039001MedicaidTX
091039004MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706001097 TX Practitioner - Dentist 6002128014 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013042TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Action Plus Rehab PLLC Past Accepting new patients
ZNZ Clinical Northline PLLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1639276165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912423",
            "telephone_number": "713-694-9070",
            "fax_number": "713-694-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912423",
            "telephone_number": "713-694-9070",
            "fax_number": "713-694-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURULLOLS",
        "first_name": "LETICIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "013042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091039001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091039004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.