Randhir Kapoor, DDS, PHD.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

19155 Issued in TX

Practice address

1674 Keller Pkwy
160
Keller, TX 76248-3751

Phone

(817) 741-4867

Fax

(817) 741-3333

NPI assigned

Mar 25, 2016

Last updated

Mar 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Vande Matram Periodontology, PA

  dba Randhir K Kapoor, DDS., PhD.

  • Periodontics
  • Keller, TX
  • NPI 1225213176
  NPD (past) Authorized official

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1730541061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 KELLER PKWY",
            "address_2": "160",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483751",
            "telephone_number": "817-741-4867",
            "fax_number": "817-741-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 KELLER PKWY",
            "address_2": "160",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483751",
            "telephone_number": "817-741-4867",
            "fax_number": "817-741-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "RANDHIR",
        "credential": "DDS, PHD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "19155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JS Aesthetics Consulting, LLC
• Shalontae A Kagler
• Kevin J. Kallal, M.D.
• Elizabeth Ann Kane-Torres, FNP-C
• Terata Ann Kanu, M.D.
• Rishika Kapoor, D.D.S
• Jonathan Bradley Karber, LMFT
• Manju Karki K C, FNP
• Robert Karr, DDS
• Katharos LLC

• Periodontics in Keller, TX
• Providers in Keller, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.