Organization Active NPI

Lotus Smiles PLLC

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1932559366
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27262 Issued in TX
Legal business name
LOTUS SMILES PLLC
Practice address
3109 S Custer Rd
Suite 300
McKinney, TX 75070-7170
Phone
(469) 262-2111
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Karuna Peravali, DDS
Title
Manager
Phone
(469) 262-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27262 TX Primary

Addresses

Primary practice location

3109 S Custer Rd
Suite 300
McKinney, TX 75070-7170

Mailing address

3109 S Custer Rd
Suite 300
McKinney, TX 75070-7170
Phone (469) 262-2111

Other names 1

  • White Lotus Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3109 S Custer Rd
Ste 300
McKinney, TX 75070
Phone (469) 262-2111

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1932559366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 S CUSTER RD",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707170",
            "telephone_number": "469-262-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 S CUSTER RD",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707170",
            "telephone_number": "469-262-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "PERAVALI",
        "authorized_official_first_name": "KARUNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-262-2111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Lotus Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.