NPIMap

Organization Active NPI

Pflugerville Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pflugerville, TX
National Provider Identifier
1073631107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
18824 Issued in TX
Legal business name
PFLUGERVILLE ORTHODONTICS PA
Practice address
300 N Heatherwilde Blvd
Pflugerville, TX 78660
Phone
(512) 989-8811
Fax
(512) 989-1525
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scot A Odonnell, DDS MSNPI 1598833550
Title
Orthodontist
Phone
(512) 989-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 18824 TX Primary

Addresses

Primary practice location

300 N Heatherwilde Blvd
Pflugerville, TX 78660

Mailing address

300 N Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 989-8811

Other names 1

  • Scot A ODonnell DDS MS and Barbara G ODonnell DDS MS Other name

National Provider Directory

National Provider Directory

Locations

300 N Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 989-8811

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073631107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HEATHERWILDE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "512-989-8811",
            "fax_number": "512-989-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HEATHERWILDE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "512-989-8811",
            "fax_number": "512-989-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFLUGERVILLE ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODONNELL",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "512-989-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "18824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scot A ODonnell DDS MS and Barbara G ODonnell DDS MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.