Organization Active NPI

Forest Family Dentistry, PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1093399156
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FOREST FAMILY DENTISTRY, PLLC
Practice address
10721 Research Blvd BLDG B180
Austin, TX 78759-5694
Phone
(512) 358-4979
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Lana Eads
Title
Accounts/Insurance Lead
Phone
(512) 761-2223

Specialties & licenses 1

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

Addresses

Primary practice location

10721 Research Blvd BLDG B180
Austin, TX 78759-5694

Mailing address

10721 Research Blvd BLDG B180
Austin, TX 78759-5694
Phone (512) 358-4979

Other names 1

  • Forest Family Dentistry North Doing business as

National Provider Directory

National Provider Directory

Locations

10721 Research Blvd
Bldg B180
Austin, TX 78759
Phone (512) 358-4979

10721 Research Blvd
#B180
Austin, TX 78759

Practitioners & affiliated clinicians

Practitioners 1

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": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1093399156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 RESEARCH BLVD BLDG B180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595694",
            "telephone_number": "512-358-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 RESEARCH BLVD BLDG B180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595694",
            "telephone_number": "512-358-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "ACCOUNTS/INSURANCE LEAD",
        "authorized_official_telephone_number": "512-761-2223"
    },
    "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": "Forest Family Dentistry North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.