NPIMap

Organization Active NPI

Lavu Dental P.C.

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1902199763
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24206 Issued in TX
Legal business name
LAVU DENTAL P.C.
Practice address
6924 South Fwy
Fort Worth, TX 76134-3800
Phone
(817) 293-7431
Fax
(817) 293-3848
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Sushma Lavu, DDSNPI 1629216551
Title
President/Dentist
Phone
(817) 966-9554

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24206 TX Primary

Addresses

Primary practice location

6924 South Fwy
Fort Worth, TX 76134-3800

Mailing address

3021 Rolling Wood LN
Keller, TX 76248-0365
Phone (817) 788-0776

Other names 1

  • Family Dental Care Other name

National Provider Directory

National Provider Directory

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": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1902199763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 ROLLING WOOD LN",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480365",
            "telephone_number": "817-788-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761343800",
            "telephone_number": "817-293-7431",
            "fax_number": "817-293-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVU DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "LAVU",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "817-966-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.