Organization Active NPI

Jeffrey Tjan DDS PLLC

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1104519628
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFREY TJAN DDS PLLC
Practice address
4213 Burnet Rd
Austin, TX 78756-3316
Phone
(317) 652-7947
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Jeffrey Tjan, DDSNPI 1710395082
Title
Dentist
Phone
(317) 652-7947

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4213 Burnet Rd
Austin, TX 78756-3316

Mailing address

1100 S Lamar Blvd Apt 1517
Austin, TX 78704-0368
Phone (317) 652-7947

Other names 1

  • Jeffrey Tjan DDS PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

4213 Burnet Rd
Austin, TX 78756
Phone (317) 652-7947

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1104519628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S LAMAR BLVD APT 1517",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040368",
            "telephone_number": "317-652-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563316",
            "telephone_number": "317-652-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY TJAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "TJAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-652-7947",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey Tjan DDS PLLC",
            "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 31, 2023; 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.