Organization Active NPI

Affordable Dentures & Implants - Texas XII, PLLC

Doing business as Affordable Dentures & Implants - Lubbock

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1891502282
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - TEXAS XII, PLLC
Doing business as
Affordable Dentures & Implants - Lubbock
Practice address
2811 S Loop 289 Ste 12
Lubbock, TX 79423-1443
Phone
(806) 748-9797
NPI assigned
Dec 18, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Sai Lavanya Peramala, DDS
Title
Managing Dentist
Phone
(806) 748-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2811 S Loop 289 Ste 12
Lubbock, TX 79423-1443

Mailing address

2811 S Loop 289 Ste 12
Lubbock, TX 79423-1443
Phone (806) 748-9797

Other names 1

  • Affordable Dentures & Implants - Lubbock Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1891502282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S LOOP 289 STE 12",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231443",
            "telephone_number": "806-748-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S LOOP 289 STE 12",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231443",
            "telephone_number": "806-748-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - TEXAS XII, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "PERAMALA",
        "authorized_official_first_name": "SAI LAVANYA",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "806-748-9797",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Lubbock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.