Individual provider Active NPI

Varun Sharad Kulkarni, DDS

  • Periodontics
  • Round Rock, TX
National Provider Identifier
1760078489
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
37184 Issued in TX
Practice address
110 N Interstate 35 Ste 380
Round Rock, TX 78681-5014
Phone
(512) 238-1035
NPI assigned
Dec 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37184 TX
General Practice Dentistry 1223G0001X 37184 TX
Periodontics 1223P0300X 37184 TX Primary

Addresses

Primary practice location

110 N Interstate 35 Ste 380
Round Rock, TX 78681-5014

Mailing address

110 N Interstate 35 Ste 380
Round Rock, TX 78681-5014
Phone (214) 731-0123

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

LicenseStateTypeSpecialty
37184TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Implants & Gumcare PA Periodontics PastSince May 1, 2021 Accepting new patients
Genyus Group PLLC Dentist PastSince Jan 14, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1760078489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N INTERSTATE 35 STE 380",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815014",
            "telephone_number": "214-731-0123",
            "fax_number": "214-731-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N INTERSTATE 35 STE 380",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815014",
            "telephone_number": "512-238-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "VARUN",
        "middle_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-12-17",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37184",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37184",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "37184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.