Azusa Kuwashima

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

37400 Issued in TX

Practice address

4222 Trinity Mills Rd Ste 240
Dallas, TX 75287-7659

Phone

(972) 677-3008

Fax

(972) 674-1668

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virk TMJ PLLCGroup PAC ID 3274930136, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: virktmjpllc.azusakuwashima@149272.advancedmd-direct.com

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.

• Virk TMJ PLLC

  • Pain Clinic/Center
  • Southlake, TX
  • NPI 1255978763

  Orofacial Pain

  Medicare reassignment Care Compare group NPD
• Virk TMJ PLLC

  • Orofacial Pain Dentistry
  • Fort Worth, TX
  • NPI 1922992015
  NPD

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1801567441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS RD STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877659",
            "telephone_number": "972-677-3008",
            "fax_number": "972-674-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS RD STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877659",
            "telephone_number": "972-677-3008",
            "fax_number": "972-674-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUWASHIMA",
        "first_name": "AZUSA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "TX",
            "license": "37400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Kutler, PHD, RN, FMCHC
• Camille Elizabeth Kutter
• Sarah Grace Dorothy Kutter
• Joe Walter Kutz Jr., M.D.
• Kuwashima Pain Management PLLC
• Emmanuel Kuyinu, M.D.
• Kolton Mark Kuykendall, CRNA
• Libby Ann Kuzhippillil, RDH
• Charlotte Elizabeth Kuzmic
• Kelaine Kvale, CERTPS

• Orofacial Pain Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Orofacial Pain Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.