NPIMap

Organization Active NPI

Implants & Gumcare PA

  • Periodontics
  • Carrollton, TX
National Provider Identifier
1780025312
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
21292 Issued in TX
Legal business name
IMPLANTS & GUMCARE PA
Practice address
1500 W Hebron Pkwy Ste 108
Carrollton, TX 75010-6531
Phone
(214) 731-0123
Fax
(214) 731-1122
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Kumar T VadivelNPI 1356469449
Title
Owner
Phone
(214) 731-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 21292 TX Primary

Addresses

Primary practice location

1500 W Hebron Pkwy Ste 108
Carrollton, TX 75010-6531

Mailing address

1500 W Hebron Pkwy Ste 108
Carrollton, TX 75010-6531
Phone (214) 731-0123

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1780025312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W HEBRON PKWY STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106531",
            "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": "1500 W HEBRON PKWY STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106531",
            "telephone_number": "214-731-0123",
            "fax_number": "214-731-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANTS & GUMCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "VADIVEL",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-731-0123",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "21292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.