Individual provider Active NPI

Nerea Robles-Leyzaola

  • Periodontics
  • Austin, TX
National Provider Identifier
1194334136
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
40028 Issued in TX
Practice address
1217 W Slaughter LN Ste 100
Austin, TX 78748-6912
Phone
(512) 593-7970
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 004289 OH
Periodontics 1223P0300X 40028 TX Primary

Addresses

Primary practice location

1217 W Slaughter LN Ste 100
Austin, TX 78748-6912

Mailing address

820 W 3Rd St Apt 4112
Austin, TX 78701-3867
Phone (614) 639-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004289OHMDPeriodontist
40028TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonrisas Dental Center South, LLC Periodontics CurrentSince May 18, 2025 Accepting new patients

Locations

1217 W Slaughter Ln
Ste 100
Austin, TX 78748
Phone (512) 593-7970

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1194334136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 3RD ST APT 4112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013867",
            "telephone_number": "614-639-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W SLAUGHTER LN STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486912",
            "telephone_number": "512-593-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES-LEYZAOLA",
        "first_name": "NEREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "004289",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "40028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.