Mydental at Norwood PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30189 Issued in TX

Legal business name

MYDENTAL AT NORWOOD PLLC

Practice address

1045 Norwood Park Blvd
Suite 103
Austin, TX 78753

Phone

(512) 815-3520

NPI assigned

Apr 14, 2017

Organization subpart

No

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

Authorized official

Name

Jinal Patel, DDS

Title

Owner

Phone

(512) 815-3520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex Jinhyuk Lee, DMD

  • General Practice Dentistry
  • Austin, TX
  • NPI 1255913273
  NPD (past)

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1013441286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N IH 35 STE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531030",
            "telephone_number": "512-815-2524",
            "fax_number": "512-591-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 NORWOOD PARK BLVD",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78753",
            "telephone_number": "512-815-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYDENTAL AT NORWOOD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JINAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-815-3520",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mydental at Ben White PLLC
• Myers-Fabian Neuropsychology, PLLC
• Amy E Myers, M.D.
• Billy Lee Myers Jr., LMFT-S
• Britney Myers
• Byron Lee Myers, NP

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.