Enamel Dentistry Manor, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENAMEL DENTISTRY MANOR, PLLC

Practice address

14008 Shadowglen Blvd Ste 203
Manor, TX 78653-3406

Phone

(512) 982-1272

Fax

(512) 982-1282

NPI assigned

May 13, 2022

Organization subpart

No

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

Authorized official

Name

Hardik Chodavadia, DDS

Title

Partner

Phone

(817) 988-6484

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1073250817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 VICENZA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787391591",
            "telephone_number": "817-988-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14008 SHADOWGLEN BLVD STE 203",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533406",
            "telephone_number": "512-982-1272",
            "fax_number": "512-982-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAMEL DENTISTRY MANOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "CHODAVADIA",
        "authorized_official_first_name": "HARDIK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-988-6484",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "enameldentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14008 Shadowglen Blvd Ste 203",
            "city": "Manor",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786533406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Manor, TX
• Providers in Manor, 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 May 13, 2022; 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.