Arbor Oaks Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

31599 Issued in TX

Legal business name

ARBOR OAKS DENTAL PLLC

Practice address

11851 Jollyville Rd
Suite 101
Austin, TX 78759-2338

Phone

(512) 258-4144

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Craig Ian Brawner, DMDNPI 1164787453

Title

Owner

Phone

(512) 258-4144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Ian Brawner, DMD

  • General Practice Dentistry
  • Georgetown, TX
  • NPI 1164787453
  NPD (past) Authorized official
• Frederick Prince Wilbur, D.D.S.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1386654465
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1124481932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592338",
            "telephone_number": "512-258-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR OAKS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "BRAWNER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-258-4144",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "31599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL LICENSE",
            "identifier": "31599",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yazmine Araya, APRN, AGACNP-BC
• Arbor Dental Associates
• Arbor Eye Center, P.a.
• Arbor Family Medicine, PLLC
• Arbor Home Medical Equipment LLC
• Arbor West
• Arboretum Austin Emergency Center, LLC
• Arboretum Austin Management, LLC
• Arboretum Eye, PLLC
• Arboretum Wellness Center Inc

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.