Lucky Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LUCKY SMILES LLC

Practice address

755 Highway 121 Byp Ste A200
Lewisville, TX 75067-8189

Phone

(972) 315-9214

Fax

(972) 315-9216

NPI assigned

Jan 9, 2024

Organization subpart

Yes

Parent organization

LUCKY SMILE LLCAs reported in NPPES

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

Authorized official

Name

Dr. Mamatha Valishetty, MDNPI 1023635232

Title

Member

Phone

(732) 207-9775

Specialties & licenses 1

Addresses

Other names 1

• Lucky Smiles Dentistry Doing business as

Part of

Lucky Smiles LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mamatha Valishetty

  • Dentist
  • Lewisville, TX
  • NPI 1023635232
  NPD Authorized official
• Harry Ashitey, DDS

  • General Practice Dentistry
  • Corinth, TX
  • NPI 1639438328
  NPD (past)

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1730959834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 HIGHWAY 121 BYP STE A200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678189",
            "telephone_number": "972-315-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGHWAY 121 BYP STE A200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678189",
            "telephone_number": "972-315-9214",
            "fax_number": "972-315-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY SMILES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUCKY SMILE LLC",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "VALISHETTY",
        "authorized_official_first_name": "MAMATHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-207-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucky Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Monique Loveday, LAT, ATC
• Deborah Lowe, PHD
• Cindy Sabrina Loy, APN
• Denise Lozano de Santiago
• Franz Julius Lucas, D.D.S.
• Courtney Lynn Lucus
• Lung Doctors for Children, PLLC
• Diana Elizabeth Luts, M.D.
• William Thomas Lutz Jr., P.T.
• Luxottica of America Inc.

• General Practice Dentistry in Lewisville, TX
• Providers in Lewisville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.