Active NPI
Priscila Luperon, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Arlington, TX
National Provider Identifier
1679728257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 24340
- Practice address
- 4400 Little Road
Suite 331
Arlington, TX 76016 - Phone
- (972) 578-7800
- Fax
- (469) 361-4700
- NPI assigned
- Nov 24, 2008
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 24340 | TX | Primary |
Addresses
Primary practice location
4400 Little Road
Suite 331
Arlington, TX 76016
Mailing address
840 Central Pkwy E
Suite 100
Plano, TX 75074-5551
Phone (972) 633-2775
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 |
|---|---|---|---|
| 24340 | TX | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Packard Orthodontics PA | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Scott Law Ortho Corp, PC | Orthodontics and Dentofacial Orthopedics | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Plano, TX
- NPI 1114045267
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Plano, TX
- NPI 1689109977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1679728257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 CENTRAL PKWY E",
"address_2": "SUITE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750745551",
"telephone_number": "972-633-2775",
"fax_number": "469-361-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 LITTLE ROAD",
"address_2": "SUITE 331",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76016",
"telephone_number": "972-578-7800",
"fax_number": "469-361-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPERON",
"first_name": "PRISCILA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "24340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.