AUSTIN PEDIATRIC DENTISTRY PLLC (NPI# 1518383769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518383769 |
| Entity Type | Organization |
| Organization Name | AUSTIN PEDIATRIC DENTISTRY PLLC |
| Practice Address |
6618 Sitio Del Rio Blvd Ste B102 Austin TX 78730-1143 |
| Practice Telephone | 5129005437 |
| Practice Fax Number | 5128571042 |
| Mailing Telephone | 5129005437 |
| Mailing Fax Number | 5128571042 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | JOSHUA LUCAS (CFO) |
| Authorized Official Telephone | 5128872319 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
29246 | TX | Ambulatory Health Care Facilities |
| Street Address |
6618 SITIO DEL RIO BLVD STE B102 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78730-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067907 | Leslie L Wells | Pediatrics | 6618 Sitio Del Rio Blvd, Building A Suite 101, Austin, TX 78730-1143 | 2005-07-19 |
| 1457524118 | Roopal Bhatt Md, Pa | Dermatology | 6618 Sitio Del Rio Blvd, Bldg D101, Austin, TX 78730-1143 | 2008-04-02 |
| 1043480171 | Martin C. Molina, Md,pa | Clinic/Center | 6618 Sitio Del Rio Blvd, Suite B-101, Austin, TX 78730-1143 | 2008-03-04 |
| 1851473425 | Liliana D. Lucas | Dentist | 6618 Sitio Del Rio Blvd, Ste B102, Austin, TX 78730-1143 | 2006-10-20 |
| 1295778876 | Elizabeth Bartlett | Pediatrics | 6618 Sitio Del Rio Blvd, A101, Austin, TX 78730-1143 | 2006-06-13 |
| 1225075112 | Hill Country Pediatrics P.a. | Pediatrics | 6618 Sitio Del Rio Blvd, A101, Austin, TX 78730-1143 | 2006-06-01 |
| 1700830338 | Martin C Molina | Family Medicine | 6618 Sitio Del Rio Blvd, Bldg. B-101, Austin, TX 78730-1143 | 2006-05-19 |
| 1649253279 | Roopal Kunjan Shanghvi Bhatt | Dermatology | 6618 Sitio Del Rio Blvd, Bldg D101, Austin, TX 78730-1143 | 2005-11-29 |
| 1861492514 | Natalie Blanche Tarrant | Pediatrics | 6618 Sitio Del Rio Blvd, Ste A-101, Austin, TX 78730-1143 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295374 | Amaris Nicole Garza | Dietitian, Registered | 10301 Ranch To Market 2222, Apt #738, Austin, TX 78730 | 2019-10-02 |
| 1366093130 | Kotobi & Associates, LLC | In Home Supportive Care | 6101 W Courtyard Drive, Bldg 1, Suite 150, Austin, TX 78730 | 2019-09-24 |
| 1831653955 | Esther Wooten | Nurse Practitioner | 6500 River Place, Suite 102, Austin, TX 78730 | 2019-01-23 |
| 1629336243 | Yuri Alexander Lawrence | Internal Medicine | 7300 Ranch Road 2222, Austin, TX 78730 | 2012-05-02 |
| 1386914612 | Robin Marie Mccray Choban Han | Clinical Nurse Specialist | 6611 River Place Blvd Ste 203, Austin, TX 78730 | 2012-01-03 |
| 1437397106 | Collins Endodontics, PC | Dentist | 7300 Fm 2222, Building V, Suite 212, Austin, TX 78730 | 2009-02-03 |
| 1043471360 | Nadia Abboud Bening | Psychiatry & Neurology | 6611 Riverplace Blvd., Austin, TX 78730 | 2008-06-19 |
| 1740469089 | Healthy Achievers, Inc. | Nursing Care | 6300 Bridgepoint Parkway, Building 3, Suite 500, Austin, TX 78730 | 2007-11-02 |
| 1104948041 | Jack C. Tips | Nutritionist | 9419 Westminster Glen, Austin, TX 78730 | 2007-04-04 |
| 1407970841 | Us Radiology Partners of Texas Inc | Radiology | 3704 Lagood St, Austin, TX 78730 | 2007-03-19 |
| Find all providers in zip 78730 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1407473101 | Kamel Elhosary | Clinic/Center | 1221 W Ben White Blvd Ste 212a, Austin, TX 78704-7002 | 2020-06-29 |
| 1811524861 | Regina Yunusov Dds, Pllc | Clinic/Center | 4419 Frontier Trl Ste 104, Austin, TX 78745-1567 | 2020-03-26 |
| 1407496474 | Kathryn James Ventures | Clinic/Center | 12335 Hymeadow Dr Ste 200, Austin, TX 78750-1935 | 2020-01-08 |
| 1508406513 | Valencia Smiles Pllc | Clinic/Center | 911 W Anderson Ln Ste 115, Austin, TX 78757-1562 | 2020-01-08 |
| 1720625106 | Joowon Cho Dds Pllc | Clinic/Center | 10700 Anderson Mill Rd Ste 300, Austin, TX 78750-2402 | 2019-12-05 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1063065472 | Ws Dental | Clinic/Center | 6801 S Ih 35 Ste 1-d, Austin, TX 78744-4824 | 2019-07-24 |
| 1649823253 | Rayne Sleep Solutions LLC | Clinic/Center | 1221 W Ben White Blvd Ste 112a, Austin, TX 78704-6888 | 2019-07-23 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.