Active NPI
Surekha Budhlani
- General Practice Dentistry
- Wichita Falls, TX
National Provider Identifier
1912300708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30503
- Practice address
- 3901 Kemp Blvd
Wichita Falls, TX 76308-2118 - Phone
- (940) 692-0083
- NPI assigned
- Oct 7, 2014
- Last updated
- Oct 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30503 | TX | Primary |
Addresses
Primary practice location
3901 Kemp Blvd
Wichita Falls, TX 76308-2118
Mailing address
3901 Kemp Blvd
Wichita Falls, TX 76308-2118
Phone (940) 692-0083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1912300708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082118",
"telephone_number": "940-692-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082118",
"telephone_number": "940-692-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDHLANI",
"first_name": "SUREKHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.