Center of Cosmetics and General Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20997 Issued in TX

Legal business name

CENTER OF COSMETICS AND GENERAL DENTISTRY

Practice address

1213 RR 620 S
Suite 205
Lakeway, TX 78734-6340

Phone

(512) 263-8337

Fax

(512) 402-9558

NPI assigned

Jul 7, 2014

Last updated

Jul 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tejas Patel, D.D.S.NPI 1083838635

Title

Owner

Phone

(512) 263-8337

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Tejas N Patel, DDS

  • General Practice Dentistry
  • Lakeway, TX
  • NPI 1083838635
  NPD (past) Authorized official
• Heather Fagin, DDS

  • Dentist
  • Lakeway, TX
  • NPI 1730595422
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1184030538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 RR 620 S",
            "address_2": "SUITE 205",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346340",
            "telephone_number": "512-263-8337",
            "fax_number": "512-402-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 RR 620 S",
            "address_2": "SUITE 205",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346340",
            "telephone_number": "512-263-8337",
            "fax_number": "512-402-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF COSMETICS AND GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-263-8337",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Casey
• Christopher E Casstevens, M.D.
• Catherine Winsby Casto, DPT
• Cec Lakeway ER Physicians PLLC
• Cec Lakeway Urgent Care Physicians PLLC (Texas Complete Urgent Care Physicians)
• Central Texas Anesthesiology, PA
• Ashley Chambers, M.A. CCC-SLP
• Miranda Rae Chavez, PT, DPT
• Susan Chen, FNP
• Shizhuo Cheng

• General Practice Dentistry in Lakeway, TX
• Providers in Lakeway, 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 Jul 7, 2014; 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.