Main Street Downtown Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

23850 Issued in TX

Legal business name

MAIN STREET DOWNTOWN DENTAL PLLC

Practice address

226 Main St
Sulphur Springs, TX 75482-2707

Phone

(469) 734-7942

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kajuri Ramchand, DDS

Title

Managing Member

Phone

(469) 734-7942

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Downtown Dental PLLC Doing business as

Locations

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1851721922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 6TH ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754183729",
            "telephone_number": "469-734-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822707",
            "telephone_number": "469-734-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DOWNTOWN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "RAMCHAND",
        "authorized_official_first_name": "KAJURI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-734-7942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23850",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942424437",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811156813",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James Boyd Longino, MD
• Lisa Renee Loper, LPC
• Velina Janet Lopez, DDS
• Jason W Maness, PT
• Rita Maraj, LVN
• Stacie Markel - Clark, RD
• Michael Marshall, PHARM. D
• Abigail Martin

• Dentist in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.