Individual provider Active NPI

Laurette Dekat Kugelmann, MD, MPH

  • Pediatrics Physician
  • Irving, TX
National Provider Identifier
1679669576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G4969 Issued in TX
Practice address
1845 E Northgate Dr
University of Dallas Student Health Center
Irving, TX 75062-4736
Phone
(972) 721-5322
Fax
(972) 721-5124
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G4969 TX Primary

Addresses

Primary practice location

1845 E Northgate Dr
University of Dallas Student Health Center
Irving, TX 75062-4736

Mailing address

6138 Northaven Rd
Dallas, TX 75230-2944
Phone (214) 987-2348

Other names 1

  • Dr. Laurette Kathryn Dekat Professional name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G4969TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Dallas Past Accepting new patients

Organizations & group practices 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679669576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 NORTHAVEN RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302944",
            "telephone_number": "214-987-2348",
            "fax_number": "972-721-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E NORTHGATE DR",
            "address_2": "UNIVERSITY OF DALLAS STUDENT HEALTH CENTER",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624736",
            "telephone_number": "972-721-5322",
            "fax_number": "972-721-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGELMANN",
        "first_name": "LAURETTE",
        "middle_name": "DEKAT",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G4969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURETTE",
            "last_name": "DEKAT",
            "middle_name": "KATHRYN",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.