Sam Bass Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAM BASS FAMILY DENTISTRY PLLC

Practice address

2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001

Phone

(512) 341-3200

NPI assigned

Apr 20, 2015

Last updated

Apr 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rupa Govindarajan, DMDNPI 1245510106

Title

Owner

Phone

(951) 454-2716

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rupa Govindarajan, BDS,DMD

  • General Practice Dentistry
  • Round Rock, TX
  • NPI 1245510106
  Authorized official Same address or phone

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1063809820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SAM BASS RD STE 108",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812001",
            "telephone_number": "512-341-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SAM BASS RD STE 108",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812001",
            "telephone_number": "512-341-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM BASS FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "GOVINDARAJAN",
        "authorized_official_first_name": "RUPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-454-2716",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12455101016",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Salinas, LPC
• Jocelyn Salis
• Lauren Margaret Salling
• Melissa Salter, O.T.
• Saltgrass Medical Equipment LLC
• Sam Bass Fire Department
• Sam's Club Optical (Sam's Club Optical 30-6259)
• Olubukola Sami
• Phyllis Apple Sample, B.C.B.A.
• Sams East Inc (Sams Pharmacy)

• Dental Clinic/Center in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.