Individual provider Active NPI

Erkan Onurlu, DDS

  • Orofacial Pain Dentistry
  • Southlake, TX
National Provider Identifier
1689452278
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
39910 Issued in TX
Practice address
1160 N Kimball Ave Ste 110
Southlake, TX 76092-5572
Phone
(817) 251-9985
NPI assigned
Sep 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain Dentistry 1223X2210X 39910 TX Primary

Addresses

Primary practice location

1160 N Kimball Ave Ste 110
Southlake, TX 76092-5572

Mailing address

5750 Phoenix Dr Apt 9
Dallas, TX 75231-5209

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
I20231101002323 TX Practitioner - Dentist 6800242595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virk TMJ PLLCGroup PAC ID 3274930136, 3 clinicians

Practice addresses (Care Compare)

1160 N Kimball Ave
Suite 110
Southlake, TX 76092-5508
Phone (817) 251-9985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39910TXMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Virk TMJ PLLC Orofacial Pain CurrentSince Aug 7, 2023 Accepting new patients
Virk TMJ PLLC Orofacial Pain CurrentSince Aug 7, 2023 Accepting new patients

Locations

9925 Gillespie Dr
Ste 3100
Plano, TX 75025
Phone (623) 980-2315

1160 N Kimball Ave
Ste 110
Southlake, TX 76092
Phone (817) 251-9985

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1689452278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 PHOENIX DR APT 9",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925572",
            "telephone_number": "817-251-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONURLU",
        "first_name": "ERKAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "TX",
            "license": "39910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.