NPIMap

Organization Active NPI

Kleen Dental PLLC

  • Dental Clinic/Center
  • Garland, TX
National Provider Identifier
1851891964
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KLEEN DENTAL PLLC
Practice address
630 W Interstate 30 Ste 610
Garland, TX 75043-5799
Phone
(972) 226-7600
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
Dr. Vidyavathi KonegowdaNPI 1245594589
Title
Owner Dentist
Phone
(248) 495-3487

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

630 W Interstate 30 Ste 610
Garland, TX 75043-5799

Mailing address

1076 Arches Park Dr
Allen, TX 75013-5649

Other names 1

  • Harbor Point Dental Excellence Doing business as

National Provider Directory

National Provider Directory

Locations

630 W Interstate 30
Ste 610
Garland, TX 75043
Phone (972) 226-7600

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": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1851891964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 ARCHES PARK DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W INTERSTATE 30 STE 610",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435799",
            "telephone_number": "972-226-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "KONEGOWDA",
        "authorized_official_first_name": "VIDYAVATHI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "248-495-3487",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Point Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.