Austin Riverside - Dr, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AUSTIN RIVERSIDE - DR, LLC

Doing business as

Dental Republic

Practice address

2015 E Riverside Dr
BLDG 2 Ste C
Austin, TX 78741-1324

Phone

(512) 264-7300

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Son Tran, D.D.S.NPI 1316163546

Title

President

Phone

(972) 747-1400

Specialties & licenses 1

Addresses

Other names 1

• Dental Republic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Son Nam Tran, D.D.S.

  • General Practice Dentistry
  • Allen, TX
  • NPI 1316163546
  Authorized official Same address or phone

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1144520859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MCKINNEY AVE",
            "address_2": "SUITE 940",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011908",
            "telephone_number": "972-747-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E RIVERSIDE DR",
            "address_2": "BLDG 2 STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411324",
            "telephone_number": "512-264-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN RIVERSIDE - DR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-747-1400",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Republic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.