Organization Active NPI

Hudson Bend Dental LLC

  • Dental Clinic/Center
  • Lakeway, TX
National Provider Identifier
1114571031
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HUDSON BEND DENTAL LLC
Practice address
1605 RR 620 N Ste 300
Lakeway, TX 78734-2371
Phone
(512) 587-7979
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Dr. Gregory Watson, DDS
Title
Pres
Phone
(512) 587-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1605 RR 620 N Ste 300
Lakeway, TX 78734-2371

Mailing address

3906 Eck LN
Austin, TX 78734-1615

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1114571031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 ECK LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787341615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 RR 620 N STE 300",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342371",
            "telephone_number": "512-587-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON BEND DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "512-587-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.