NPIMap

Organization Active NPI

Dental Health Associates of Texas, PC

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1053953158
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Practice address
3733 Gattis School Rd
Round Rock, TX 78664-4020
Phone
(512) 379-2202
NPI assigned
Oct 10, 2019
Organization subpart
Yes
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-5100

Specialties & licenses 1

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

Addresses

Primary practice location

3733 Gattis School Rd
Round Rock, TX 78664-4020

Mailing address

3733 Gattis School Rd
Round Rock, TX 78664-4020
Phone (512) 501-6332

Other names 1

  • Gattis School Road Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of TX PC148 organizations share this tax ID, including this one
Part of
Dental Health Associates of TX PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3733 Gattis School Rd
Round Rock, TX 78664
Phone (512) 379-2202

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1053953158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 GATTIS SCHOOL RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644020",
            "telephone_number": "512-501-6332",
            "fax_number": "512-428-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 GATTIS SCHOOL RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644020",
            "telephone_number": "512-379-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gattis School Road Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gattis School Road Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.