Active NPI
Amm PLLC
- General Practice Dentistry
- Leander, TX
National Provider Identifier
1124509682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AMM PLLC
- Practice address
- 1901 S Highway 183
Leander, TX 78641-2101 - Phone
- (512) 259-3365
- NPI assigned
- Aug 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Mabel Mathew
- Title
- Owner
- Phone
- (830) 582-2571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1901 S Highway 183
Leander, TX 78641-2101
Mailing address
1901 S Highway 183
Leander, TX 78641-2101
Other names 1
- 183 Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- 183 Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Nixon, TX
- NPI 1861860967
Locations
1901 S Highway 183
Leander, TX 78641
Phone (512) 259-3365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1124509682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S HIGHWAY 183",
"city": "LEANDER",
"state": "TX",
"postal_code": "786412101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S HIGHWAY 183",
"city": "LEANDER",
"state": "TX",
"postal_code": "786412101",
"telephone_number": "512-259-3365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMM PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-23",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "MABEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-582-2571"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "183 Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.