Cherry Creek Dental Group P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28848 Issued in TX

Legal business name

CHERRY CREEK DENTAL GROUP P.C.

Practice address

5700 Manchaca Rd
Suite 340
Austin, TX 78745-3679

Phone

(512) 448-9655

Fax

(512) 448-9668

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Mihaela Atanasiu

Title

Dentist/Owner

Phone

(773) 746-2368

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1093950446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MANCHACA RD",
            "address_2": "SUITE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453679",
            "telephone_number": "512-448-9655",
            "fax_number": "512-448-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MANCHACA RD",
            "address_2": "SUITE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453679",
            "telephone_number": "512-448-9655",
            "fax_number": "512-448-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY CREEK DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "ATANASIU",
        "authorized_official_first_name": "MIHAELA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "773-746-2368"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suneela Cherlopalle
• Peggy Lee Ann Chern, M.D.
• Jessica Chernetsky, MD
• Frank J Cherpack, DPM
• Ashley Cherrington
• Cherry Tree Residential Services, Inc
• Cherry Tree Residential Services, Inc.
• Jennifer Cherry
• Jordan Cherry, APRN, CNS
• Katherine Cherry

• General Practice Dentistry in Austin, TX
• Providers in Austin, 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 22, 2014; 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.