Organization Active NPI

Kulkarni Dental PC

  • General Practice Dentistry
  • Kilgore, TX
National Provider Identifier
1801328539
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31955 Issued in TX
Legal business name
KULKARNI DENTAL PC
Practice address
1101 Stone St
Suite 106
Kilgore, TX 75662-5808
Phone
(903) 200-5111
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Dr. Vishal Kulkarni, DDS
Title
Owner
Phone
(903) 200-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31955 TX Primary

Addresses

Primary practice location

1101 Stone St
Suite 106
Kilgore, TX 75662-5808

Mailing address

1101 Stone St
Suite 106
Kilgore, TX 75662-5808

Other names 1

  • deluxe dental Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Stone St
Ste 106
Kilgore, TX 75662
Phone (902) 200-5111

Practitioners & affiliated clinicians

Practitioners 1

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": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1801328539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STONE ST",
            "address_2": "SUITE 106",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756625808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STONE ST",
            "address_2": "SUITE 106",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756625808",
            "telephone_number": "903-200-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULKARNI DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-200-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "deluxe dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kilgore, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.