Organization Active NPI

Kallam PLLC

Doing business as V Smile Family Dental

  • Dentist
  • Frisco, TX
National Provider Identifier
1902314438
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24264 Issued in TX
Legal business name
KALLAM PLLC
Doing business as
V Smile Family Dental
Practice address
12388 FM 423 Ste 100
Frisco, TX 75033-4961
Phone
(469) 766-7050
Fax
(214) 872-2701
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Dr. Vijaya Tippireddy, DDS
Title
Owner
Phone
(469) 766-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24264 TX Primary

Addresses

Primary practice location

12388 FM 423 Ste 100
Frisco, TX 75033-4961

Mailing address

12388 FM 423 Ste 100
Frisco, TX 75033-4961
Phone (469) 766-7050

Other names 1

  • V Smile Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12388 FM 423
Ste 100
Frisco, TX 75033
Phone (214) 872-2700

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1902314438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12388 FM 423 STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334961",
            "telephone_number": "469-766-7050",
            "fax_number": "214-872-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12388 FM 423 STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334961",
            "telephone_number": "469-766-7050",
            "fax_number": "214-872-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALLAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "TIPPIREDDY",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-766-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V Smile Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

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