Organization Active NPI

WSD Dental Ventures LLLP

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1104246131
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20218 Issued in TX
Legal business name
WSD DENTAL VENTURES LLLP
Practice address
500 W Whitestone Blvd
Suite 102
Cedar Park, TX 78613-2245
Phone
(512) 719-4449
Fax
(512) 996-0134
NPI assigned
Apr 17, 2014
Organization subpart
Yes
Parent organization
WHITESTONE DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Sara Elizabeth Emery, D.D.S.
Title
Dentist
Phone
(512) 779-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20218 TX Primary

Addresses

Primary practice location

500 W Whitestone Blvd
Suite 102
Cedar Park, TX 78613-2245

Mailing address

500 W Whitestone Blvd
Suite 102
Cedar Park, TX 78613-2245
Phone (512) 719-4449

Other names 1

  • Whitestone Dental Doing business as

National Provider Directory

National Provider Directory
Part of
WSD Dental Ventures LLLP

Locations

500 W Whitestone Blvd
Ste 102
Cedar Park, TX 78613
Phone (512) 528-5454

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1104246131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WHITESTONE BLVD",
            "address_2": "SUITE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132245",
            "telephone_number": "512-719-4449",
            "fax_number": "512-996-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WHITESTONE BLVD",
            "address_2": "SUITE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132245",
            "telephone_number": "512-719-4449",
            "fax_number": "512-996-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSD DENTAL VENTURES LLLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITESTONE DENTAL",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-779-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitestone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.