Family Tree Dental Group One PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY TREE DENTAL GROUP ONE PLLC

Practice address

200 N Red Bud LN
Round Rock, TX 78665-8904

Phone

(512) 310-5999

Fax

(512) 341-9950

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Jessica Lee Azua

Title

Office Manager

Phone

(512) 310-5999

Specialties & licenses 1

Addresses

Practitioners 2

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

• Akshat Lalvani

  • Periodontics
  • Round Rock, TX
  • NPI 1770941189

  Single Specialty

  NPD (past)
• Ahmad A Mousa, DDS

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
  • NPI 1346874633

  General Practice

  NPD (past)

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1083970792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N RED BUD LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658904",
            "telephone_number": "512-310-5999",
            "fax_number": "512-341-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N RED BUD LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658904",
            "telephone_number": "512-310-5999",
            "fax_number": "512-341-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE DENTAL GROUP ONE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "AZUA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-310-5999"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Center LLC,
• Family Chiropractic of Round Rock PLLC
• Family Dentistry & Orthodontic Centers P.C.
• Family Imaging Services
• Family Medicine Associates of Round Rock, P.a.
• Vritsy Farias
• Silvette Farley
• Christopher Michael Farmer, M.D.
• Andrea Farrell, LCSW
• Ernie Faucher

• General Practice Dentistry in Round Rock, TX
• Providers in Round Rock, 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 6, 2012; 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.