Waterfront Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WATERFRONT FAMILY DENTISTRY PLLC

Practice address

255 W Lebanon Ste 300
Frisco, TX 75036-3415

Phone

(972) 987-4343

Fax

(972) 987-4346

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Lavanya Rudrapatna, DMDNPI 1912331539

Title

Owner

Phone

(214) 563-5333

Specialties & licenses 1

Addresses

Other names 1

• Chase Oaks Family Dentistry Doing business as

Locations

Practitioners 2

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

• Lavanya Rudrapatna, DMD

  • Dentist
  • Allen, TX
  • NPI 1912331539
  NPD Authorized official
• Shreemayi Sunil, DMD

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1821118019
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1760072193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LEBANON STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363415",
            "telephone_number": "972-987-4343",
            "fax_number": "972-987-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LEBANON STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363415",
            "telephone_number": "972-987-4343",
            "fax_number": "972-987-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "RUDRAPATNA",
        "authorized_official_first_name": "LAVANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-563-5333",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chase Oaks Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chase Oaks Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity Warren
• Warthan Dermatology Associates, P.a.
• Mandy Lynn Warthan, M.D.
• Diamond Washington
• Molly Pelekamoyo Washington
• Lakisha Waters
• Anne R Watson, LPC
• Joni Caroline Watson, MS CCC-SLP
• Mary Nelson Watson, M.D.
• Haidar Wattar, OD

• Dental Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.