Active NPI
Lotus Smiles PLLC
- General Practice Dentistry
- McKinney, TX
National Provider Identifier
1932559366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27262
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.