Organization Active NPI

Simple Dentist Lewisville PLLC

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1902299928
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26470 Issued in TX
Legal business name
SIMPLE DENTIST LEWISVILLE PLLC
Practice address
1079 W Round Grove
800
Lewisville, TX 75067
Phone
(917) 376-4408
NPI assigned
Mar 16, 2015
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Hema Kishore Chapala, DDSNPI 1306130240
Title
Owner
Phone
(917) 376-4408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26470 TX Primary

Addresses

Primary practice location

1079 W Round Grove
800
Lewisville, TX 75067

Mailing address

817 Calcot Drive
Coppell, TX 75019
Phone (917) 376-4408

National Provider Directory

National Provider Directory

Locations

1071 W Round Grove Rd
Lewisville, TX 75067
Phone (972) 459-0400

1071 W Round Grove Rd
Ste 800
Lewisville, TX 75067
Phone (972) 459-0400

1079 W Round Grove Rd
#800
Lewisville, TX 75067
Phone (917) 376-4408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1902299928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CALCOT DRIVE",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "917-376-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 W ROUND GROVE",
            "address_2": "800",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "917-376-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE DENTIST LEWISVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "CHAPALA",
        "authorized_official_first_name": "HEMA KISHORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-376-4408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.