NPIMap

Organization Active NPI

Laurel Dental TX PLLC

  • Dental Clinic/Center
  • Leander, TX
National Provider Identifier
1174139190
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAUREL DENTAL TX PLLC
Practice address
10824 E Crystal Falls Pkwy # 303
Leander, TX 78641-4300
Phone
(801) 598-9676
NPI assigned
Sep 16, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Aliisha Choucair, DMDNPI 1306150172
Title
Managing Member
Phone
(512) 900-1720

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

10824 E Crystal Falls Pkwy # 303
Leander, TX 78641-4300

Mailing address

10824 E Crystal Falls Pkwy # 303
Leander, TX 78641-4300
Phone (512) 900-1720

National Provider Directory

National Provider Directory

Locations

10824 E Crystal Falls Pkwy
Ste 303
Leander, TX 78641
Phone (801) 598-9676

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1174139190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10824 E CRYSTAL FALLS PKWY # 303",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414300",
            "telephone_number": "512-900-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10824 E CRYSTAL FALLS PKWY # 303",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414300",
            "telephone_number": "801-598-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL DENTAL TX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "CHOUCAIR",
        "authorized_official_first_name": "ALIISHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-900-1720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 3, 2020; 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.