OrganizationActive
Jacob K Kruvilla
NPI 1861094518 · General Practice Dentistry · Dallas, TX
Jacob K Kruvilla is a General Practice Dentistry organization in Dallas, TX (NPI 1861094518).
Provider details
- NPI number
- 1861094518
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Kruvilla, Owner/Doctor(972) 360-0096
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11613 N Central Expy Ste 111a
Dallas, TX 75243-3808
Phone: (972) 360-0096
Street-level locationGet directions
Mailing address
11613 N Central Expy Ste 111a
Dallas, TX 75243-3808
Other names (DBA / former)
- Doing business as
- Fundamental Dental
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Frequently asked questions
- What is Jacob K Kruvilla's NPI number?
- Jacob K Kruvilla's National Provider Identifier (NPI) is 1861094518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacob K Kruvilla?
- Jacob K Kruvilla is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jacob K Kruvilla located?
- Jacob K Kruvilla's practice location on file with NPPES is 11613 N Central Expy Ste 111a, Dallas, TX 75243-3808.
- What is Jacob K Kruvilla's phone number?
- The practice phone number listed in the NPPES registry for Jacob K Kruvilla is (972) 360-0096.
- Who is the authorized official for Jacob K Kruvilla?
- The authorized official listed on Jacob K Kruvilla's NPPES record is Jacob Kruvilla, Owner/Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacob K Kruvilla's NPI active?
- Yes — Jacob K Kruvilla's NPI (1861094518) is active in the NPPES registry as of the last update on 2020-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.