Active NPI
Shashi Prabha Kumar, DDS
- General Practice Dentistry
- Copperas Cove, TX
National Provider Identifier
1649871484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36861
- Practice address
- 301 Constitution Dr Ste 300
Copperas Cove, TX 76522-2658 - Phone
- (083) 377-7722
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36861 | TX | Primary |
Addresses
Primary practice location
301 Constitution Dr Ste 300
Copperas Cove, TX 76522-2658
Mailing address
2510 S 31St St Apt 3309
Temple, TX 76504-7134
Phone (424) 389-6765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36861 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1649871484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 S 31ST ST APT 3309",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047134",
"telephone_number": "424-389-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CONSTITUTION DR STE 300",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222658",
"telephone_number": "083-377-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "SHASHI",
"middle_name": "PRABHA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "36861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.