Organization Active NPI

Smiles of Vernon PLLC

  • General Practice Dentistry
  • Vernon, TX
National Provider Identifier
1841857349
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILES OF VERNON PLLC
Practice address
4109 Hillcrest PLZ
Vernon, TX 76384-3267
Phone
(940) 552-2269
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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/Dentist
Phone
(484) 860-5551

Specialties & licenses 1

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

Addresses

Primary practice location

4109 Hillcrest PLZ
Vernon, TX 76384-3267

Mailing address

4109 Hillcrest PLZ
Vernon, TX 76384-3267

Other identifiers 1

IdentifierTypeStateIssuer
31955OtherTXDENTAL LICENCE

National Provider Directory

National Provider Directory

Locations

4109 Hillcrest Plz
Vernon, TX 76384
Phone (940) 552-2269

Practitioners & affiliated clinicians

Practitioners 4

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": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1841857349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 HILLCREST PLZ",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 HILLCREST PLZ",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843267",
            "telephone_number": "940-552-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF VERNON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "484-860-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "31955",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.